MRS. MARY AGNES WYKSTRA (NPI# 1356565675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356565675 |
Entity Type | Individual |
Full Name | MRS. MARY AGNES WYKSTRA |
Credential | RN |
Practice Address |
1540 Glenwood Ave Syracuse NY 13207-1011 |
Mailing Address |
2041 Buckwheat Rd Tully NY 13159-9768 |
Practice Telephone | 3154761771 |
Mailing Telephone | 3156965095 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | 251724 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NYS02549484 | 05 |
Street Address |
1540 GLENWOOD AVE |
City | SYRACUSE |
State | NY |
Zip Code | 13207-1011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326297482 | Kelly Lorraine Evans | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2008-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
1992154710 | Alza Theresa Johnson | Licensed Vocational Nurse | 139 Clyde Ave, Syracuse, NY 13207 | 2016-06-13 |
1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
1164674727 | Hope R Ford | Licensed Practical Nurse | 541 Velasko Rd, Syracuse, NY 13207-1030 | 2008-10-15 |
1043357395 | Felicia Montanez | Nurse Practitioner | 110 Bungalow Ter, Syracuse, NY 13207-1102 | 2007-01-30 |
Find all providers in zip 13207 |
Taxonomy Code | 163W00000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
1730799289 | Briana Mitchell | Registered Nurse | 402 Hoefler St, Syracuse, NY 13204-3424 | 2020-08-08 |
1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
1225654023 | Thelma Everson | Registered Nurse | 511 Yale Ave, Syracuse, NY 13219-2657 | 2020-06-18 |
1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
1770127425 | Ashley Causey | Registered Nurse | 120 Charles Ave Apt 2, Syracuse, NY 13209-1608 | 2019-11-05 |
1164064119 | Corinne Monique Hertsel | Registered Nurse | 107 W Pickwick Dr Ste A, Syracuse, IN 46567-1832 | 2019-10-10 |
1447801618 | Kelsey Nicole Desso | Registered Nurse | 5214 Corporal Welch Rd, Syracuse, NY 13215-8653 | 2019-09-27 |
1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
1568023612 | Christopher Michael Souza | Registered Nurse | 736 Irving Ave Ste 500, Syracuse, NY 13210-1687 | 2019-06-27 |
Find all providers in SYRACUSE |
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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.