MRS. AMANDA PATRICIA WAKIM (NPI# 1245536408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245536408 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA PATRICIA WAKIM |
| Credential | MSN,FNP-BC |
| Practice Address |
58 16th Street Wheeling WV 26003 |
| Practice Telephone | 3042436410 |
| Practice Fax Number | 3042436411 |
| Mailing Telephone | 3042436410 |
| Mailing Fax Number | 3042436411 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
38366 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0063534 | 05 | |
| OHIO BOARD OF NURSING LICENSE NUMBER | RN.287505 | 01 | |
| ANCC CERTIFICATION NUMBER | 2010009362 | 01 | |
| WV RN LICENSE NUMBER | 38366 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336553007 | Amanda Wakim | Pharmacist | 60 Groton St, Pepperell, MA 01463-1516 | 2014-06-20 |
| Street Address |
58 16TH STREET |
| City | WHEELING |
| State | WV |
| Zip Code | 26003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140759 | Mathew Gus Sokos | Family Medicine | 58 16th Street, Wheeling Clinic, Wheeling, WV 26003 | 2006-01-27 |
| 1679059240 | Caitlyn Justine Williams | Physician Assistant | 58 16th Street, Wheeling, WV 26003 | 2018-07-17 |
| 1861858003 | Suzanne Marie Figurski | Nurse Practitioner | 58 16th Street, Wheeling, WV 26003 | 2016-01-04 |
| 1780004093 | Edwin R Rozario | Family Medicine | 58 16th Street, Wheeling, WV 26003 | 2014-04-25 |
| 1376851519 | Triston Bbj Smith | Internal Medicine | 58 16th Street, Wheeling, WV 26003 | 2010-09-22 |
| 1720393952 | Kimberly Lynn Justice-conley | Social Worker | 58 16th Street, Wheeling, WV 26003 | 2010-08-12 |
| 1871789594 | Yuriko Fukuta | Internal Medicine | 58 16th Street, Wheeling, WV 26003 | 2007-09-17 |
| 1871785139 | Renee A Billie | Physical Therapist | 58 16th Street, 5th Floor Vna of Medical Park, Wheeling, WV 26003 | 2007-08-10 |
| 1295880771 | Frances Smaltz | Nurse Practitioner | 58 16th Street, Wheeling, WV 26003 | 2007-01-24 |
| 1447345046 | Min Wang | Acupuncturist | 58 16th Street, Wheeling, WV 26003 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036479 | Jessica Lynn Franke | Nurse Practitioner | 242 Kruger St, Wheeling, WV 26003-5166 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664143 | Mousumi Pinki | Nurse Practitioner | 353 Villa View Dr, Morgantown, WV 26505-2092 | 2020-09-17 |
| 1881209971 | Amber Nicole Smarr | Nurse Practitioner | 764 Harness Road, Fenwick, WV 26202 | 2020-09-15 |
| 1114547130 | Karen Beth Hill | Nurse Practitioner | 130 Brighton Cir, Princeton, WV 24739-9153 | 2020-04-20 |
| 1700416013 | Charles Brian Young | Nurse Practitioner | 350 Cheswick Dr, Martinsburg, WV 25403-7526 | 2020-01-26 |
| 1093251076 | Jessica Ann Smith | Nurse Practitioner | 107 Staunton Dr # 9, Weston, WV 26452-5604 | 2017-01-13 |
| 1659979011 | Jerica Elaine Bobo | Nurse Practitioner | 22347 Northwestern Pike, Romney, WV 26757-6343 | 2020-10-16 |
| 1407460918 | Jordan Nicole Kesler | Nurse Practitioner | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2020-09-02 |
| 1568072106 | Kelli Marie Morrow | Nurse Practitioner | 61 Campus Dr, Martinsburg, WV 25404-7542 | 2020-08-07 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| 1477114221 | Caitlin Johnson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-06-24 |
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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.