MRS. MARY AGNES WYKSTRA


Address: 1540 Glenwood Ave, Syracuse, NY 13207-1011
Phone: 3154761771

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 251724 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS02549484 05

Office Location

Street Address 1540 GLENWOOD AVE
City SYRACUSE
State NY
Zip Code 13207-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326297482 Kelly Lorraine Evans Registered Nurse 1540 Glenwood Ave, Syracuse, NY 13207-1011 2008-09-14

Providers in the same zip code

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 Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City SYRACUSE
Zip Code 13207

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Dataset Information

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.

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