MS. LISA WICKS (NPI# 1164440590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164440590 |
| Entity Type | Individual |
| Full Name | MS. LISA WICKS |
| Credential | NP |
| Practice Address |
33255 Ninth St Union City CA 94587-2137 |
| Practice Telephone | 5104715880 |
| Practice Fax Number | 5104719051 |
| Mailing Telephone | 5104715880 |
| Mailing Fax Number | 5104719051 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP12703 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598831711 | Lisa Ann Wicks | Occupational Therapist | 4850 W Century Plaza Rd, Suite 100, Indianapolis, IN 46254 | 2006-11-28 |
| Street Address |
33255 NINTH ST |
| City | UNION CITY |
| State | CA |
| Zip Code | 94587-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831387240 | Shirley Chan | Nurse Practitioner | 33255 Ninth St, Union City, CA 94587 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580800 | Abigail Karon Kelley | Behavioral Analyst | 3804 Shinglewood Ct, Union City, CA 94587 | 2019-04-17 |
| 1689140956 | Sindhu Jefferson | Specialist/Technologist | Ascend Rehab Services, 29516 Kohoutek Way, Union City, CA 94587 | 2018-10-15 |
| 1538653803 | Zaira Ramirez | Behavioral Analyst | 362 Teddy Dr, Union City, CA 94587 | 2018-06-19 |
| 1922501113 | Mariah L Flores | Behavior Technician | 34858 Starling Dr, Union City, CA 94587 | 2018-03-14 |
| 1528569464 | Herbert C K Chiu Dds, A Professional Corporation | Dentist | 2701 Decoto Rd Suite 4, Union City, CA 94587 | 2018-02-26 |
| 1760995765 | Tran N Bianconi | Optometrist | 3553 Whipple Rd Fl 1, Union City, CA 94587 | 2017-11-13 |
| 1649795022 | Lambert Javier Chiropractic, Inc | Clinic/Center | 32145 Alvarado Niles Rd Ste 206, Union City, CA 94587 | 2017-08-07 |
| 1023531779 | Dawn Christine Holderfield | Behavioral Analyst | 33635 9th St, Appt. 1, Union City, CA 94587 | 2017-07-24 |
| 1972031466 | Eloisa Panopio | Behavioral Analyst | 4372 Queen Anne Drive, Union City, CA 94587 | 2017-05-26 |
| 1801244884 | Loryann Gurion | Dentist | 32364 Dyer St., Union Landing Dental Center, Union City, CA 94587 | 2016-05-31 |
| Find all providers in zip 94587 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122785 | Grover F Schleifer IIi Md PC | Nurse Practitioner | 1720 E. Reelfoot Ave., Ste 103, Union City, TN 38261-6048 | 2006-02-08 |
| 1932101839 | Lisa D Fletcher | Nurse Practitioner | 1208 Edwards St, Union City, TN 38261-5320 | 2005-08-11 |
| 1619977584 | Renea L Nagel-terrell | Nurse Practitioner | 701 E Reelfoot Ave, Suite 100, Union City, TN 38261-5880 | 2005-07-21 |
| 1124027560 | Tracey Kizer | Nurse Practitioner | 700 Sherrill St, Suite B, Union City, TN 38261-5891 | 2005-07-19 |
| 1831753391 | Allison A Vallee | Nurse Practitioner | 1012 S Miles Ave, Union City, TN 38261-5432 | 2019-04-30 |
| 1154803666 | Amanda Lee Keown | Nurse Practitioner | 1412 E Reelfoot Ave, Union City, TN 38261 | 2018-08-30 |
| 1255846689 | Kara Vinyard | Nurse Practitioner | 1705 W Reelfoot Ave, Union City, TN 38261-5569 | 2017-12-07 |
| 1598194532 | Kelly Parker Morgan | Nurse Practitioner | 1201 Bishop St, Union City, TN 38261-5403 | 2013-11-08 |
| 1518145895 | Geneva C Brummett | Nurse Practitioner | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2008-02-08 |
| 1831387240 | Shirley Chan | Nurse Practitioner | 33255 Ninth St, Union City, CA 94587 | 2007-10-10 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 94587 |
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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.