REBECCA WICKENHEISER (NPI# 1154770865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154770865 |
| Entity Type | Individual |
| Full Name | REBECCA WICKENHEISER |
| Practice Address |
9668 Kathy Ave El Paso TX 79927-4116 |
| Practice Telephone | 9153450499 |
| Mailing Telephone | 9153450499 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 36234961 | TX | Nursing Service Related Providers |
| Street Address |
9668 KATHY AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79927-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541372 | Fv Denta Pllc | Dentist | 10670 N. Loop Dr., Socorro, TX 79927 | 2020-06-03 |
| 1861949315 | Grissel Davila | Dental Assistant | 11761 Flor Del Rio, El Paso, TX 79927 | 2016-09-01 |
| 1285944843 | Adolfo Square Inc. | PACE Provider Organization | 10750 North Loop, Suite A-2/a-3, Socorro, TX 79927 | 2010-10-18 |
| 1528167350 | Damian Alan Maureira | Social Worker | 657 Winn Rd, El Paso, TX 79927 | 2006-09-21 |
| 1528548534 | Stephanie Marie Banuelos | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927 | 2018-08-19 |
| 1417309048 | Kara Greco | Speech-Language Pathologist | 10064 Alameda Ave, Socorro, TX 79927 | 2016-07-07 |
| 1437516713 | Ericka Paige Hartford | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927 | 2016-01-18 |
| 1164888319 | Capelli Group LLC | Specialist | 9739 Socorro Rd, Socorro, TX 79927 | 2016-01-04 |
| 1942673074 | Eddie Hernandez | Technician | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2015-11-11 |
| 1417409699 | Atentos En Su Hogar LLC | Home Health | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2016-11-03 |
| Find all providers in zip 79927 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083062442 | Julia Crofford | Day Training/Habilitation Specialist | 11385 Bar Ranch Ct, El Paso, TX 79934-3227 | 2016-05-26 |
| 1508213919 | Zayra Barrientos | Day Training/Habilitation Specialist | 1508 Coronel Dr, El Paso, TX 79928-6024 | 2016-05-17 |
| 1487009973 | Juan Pablo Baca | Day Training/Habilitation Specialist | 3949 Flamingo Dr, El Paso, TX 79902-1726 | 2016-05-03 |
| 1649624552 | Rayna Cephas-jones | Day Training/Habilitation Specialist | 3216b Kerfoot St, El Paso, TX 79904-4228 | 2016-04-17 |
| 1790139764 | Joanna Lopez | Day Training/Habilitation Specialist | 10305 Shannon Pl, El Paso, TX 79925-1620 | 2016-04-15 |
| 1588028369 | Briana Nichole Moya | Day Training/Habilitation Specialist | 3749 Loma Jacinto Dr, El Paso, TX 79938-1233 | 2016-04-07 |
| 1568824662 | Maria De La Luz Guzman | Day Training/Habilitation Specialist | 6308 Alina Baltazar, El Paso, TX 79932-1863 | 2016-03-28 |
| 1003275207 | Sandy Veronica Zesati | Day Training/Habilitation Specialist | 7170 Royal Palm St, El Paso, TX 79912-7255 | 2016-02-16 |
| 1558734004 | Christine Cartrite | Day Training/Habilitation Specialist | 225 Bagwell Ct, El Paso, TX 79932-3801 | 2015-11-05 |
| 1750750345 | Griselda Higareda | Day Training/Habilitation Specialist | 15080 Karen Kay Dr, El Paso, TX 79938-8336 | 2015-09-24 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.