ELLICE ANN WICKWIRE (NPI# 1386081115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386081115 |
| Entity Type | Individual |
| Full Name | ELLICE ANN WICKWIRE |
| Credential | R.N. |
| Practice Address |
907 S Main St Pinckneyville IL 62274-1700 |
| Mailing Address |
Po Box 49 Pinckneyville IL 62274-0049 |
| Practice Telephone | 6183575371 |
| Practice Fax Number | 6183573190 |
| Mailing Telephone | 6183575371 |
| Mailing Fax Number | 6183573190 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
041.276442 | IL | Nursing Service Providers |
| Street Address |
907 S MAIN ST |
| City | PINCKNEYVILLE |
| State | IL |
| Zip Code | 62274-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487045423 | Perry County Health Department | Public Health or Welfare | 907 S Main St, Pinckneyville, IL 62274-1700 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912260233 | Kathy Lynn Heard | Physical Therapy Assistant | 101 N. Walnut St., Pinckneyville, IL 62274 | 2012-06-21 |
| 1235254350 | Timothy Alan Mathis | Emergency Medicine | 202 S Walnut St, Pinckneyville, IL 62274 | 2007-03-20 |
| 1225194988 | Perry County Trans Van | Non-emergency Medical Transport (VAN) | 602 S Douglas St, Pinckneyville, IL 62274 | 2006-12-28 |
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1588670426 | Ralph Kane Chapman | Dentist | Box 469, 314 W South St, Pinckneyville, IL 62274 | 2006-07-31 |
| 1427456961 | Alisa D Dearmond | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1619210721 | Andrea Marie Epplin | Nurse Practitioner | 5383 State Route 154, Family Medical Center, Pinckneyville, IL 62274 | 2013-03-27 |
| 1841336799 | Clinic Pharmacy | Pharmacy | 206 North Main Street, Pinckneyville, IL 62274-0364 | 2007-01-29 |
| 1992840821 | Wayne Ray Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2007-02-20 |
| 1194384669 | Thaddeus Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2019-06-10 |
| Find all providers in zip 62274 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921918 | Sarah E Franks | Registered Nurse | 823 Michigan Ave Apt 3, Evanston, IL 60202-4403 | 2020-04-20 |
| 1225675267 | Agnes Callao Virata-delgado | Registered Nurse | 4321 North Sawyer Ave, Chicago, IL 60618-1211 | 2019-12-10 |
| 1598293375 | Beverly Christina Bohus | Registered Nurse | 836 W Wellington Ave # G330, Chicago, IL 60657-5147 | 2017-05-24 |
| 1861855744 | Valerie Marie Mullen | Registered Nurse | 997 N. York St., Martinsville, IL 62442-0266 | 2016-03-30 |
| 1366839532 | Lisa Shira Herranz | Registered Nurse | 5125 N Kostner Ave, Chicago, IL 60630-2608 | 2015-04-24 |
| 1740607332 | Maureen Mclachlan | Registered Nurse | 151 N Kenilworth Ave Apt 6i, Oak Park, IL 60301-1224 | 2014-03-21 |
| 1982905071 | Tanya Melich-munyan | Registered Nurse | 1032 Elgin Ave, Forest Park, IL 60130-2331 | 2010-11-05 |
| 1831390459 | Township of Wheeling | Registered Nurse | 1616 No Arlington Heights Rd, Arlington Heights, IL 60004 | 2007-05-30 |
| 1386796605 | Barbara Bugner | Registered Nurse | 20772 N Florence Ave, Lincolnshire, IL 60069-9664 | 2007-01-17 |
| 1588731046 | Sharon A Foy | Registered Nurse | 8036 Lawler Ave, Burbank, IL 60459-2139 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
| City | PINCKNEYVILLE |
| Zip Code | 62274 |
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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.