MANDI NICOLE WILCOX (NPI# 1467067207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467067207 |
| Entity Type | Individual |
| Full Name | MANDI NICOLE WILCOX |
| Credential | ARNP, RN |
| Practice Address |
2811 Tieton Dr Yakima WA 98902-3761 |
| Mailing Address |
Po Box 335 Naches WA 98937-0335 |
| Practice Telephone | 5095758100 |
| Mailing Telephone | 5093888074 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60435024 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP61104820 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | RN60435024 | 01 |
| Street Address |
2811 TIETON DR |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763318 | Susie Ball | Genetic Counselor, MS | 2811 Tieton Dr, Genetics - Memorial, Yakima, WA 98902-3761 | 2005-10-06 |
| 1336740901 | Tyler Reed | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-11-02 |
| 1629683610 | Moro Kim | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-15 |
| 1588278576 | Chad Schmitt | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-07 |
| 1306463450 | Rigoberto Zepeda | Nurse Practitioner | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-07-05 |
| 1750906269 | Timothy Joseph Bowman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-06-10 |
| 1700416062 | Terry J Tieman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-01-24 |
| 1891343414 | Ashley Walker | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-27 |
| 1639725377 | Shannon Rodriguez | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-16 |
| 1942852678 | Stephanie Nicole Baluca | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| 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 |
|---|---|---|---|---|
| 1386282325 | Deanne Shollenberger | Nurse Practitioner | 6101 Summitview Ave Ste 140, Yakima, WA 98908-3028 | 2019-12-19 |
| 1356866255 | Bryan Camus | Nurse Practitioner | 2707 Palatine Ave, Yakima, WA 98902-3780 | 2017-08-11 |
| 1699929505 | Philip Ryan Young | Nurse Practitioner | 3904 Terrace Heights Drive, Suite D, Yakima, WA 98901-1568 | 2008-11-06 |
| 1225149073 | Jason L Berreman | Nurse Practitioner | 3810 Kern Way, Suite D, Yakima, WA 98902-7805 | 2006-08-31 |
| 1306854492 | Marie C Harlan-ivy | Nurse Practitioner | 2501 Business Ln, Yakima, WA 98901-1167 | 2006-08-04 |
| 1609881085 | Juliet A Capp | Nurse Practitioner | 120 S. 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2006-07-31 |
| 1255352183 | Gregory A Swart | Nurse Practitioner | 1111 W. Yakima Ave, Yakima, WA 98902 | 2006-07-23 |
| 1912947136 | Suzanne Fromherz | Nurse Practitioner | 209 S 12th Ave, Yakima, WA 98902-3110 | 2006-06-07 |
| 1538781851 | Zachary Assink | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2020-05-08 |
| 1093364242 | Melissa A Helgeson | Nurse Practitioner | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2019-09-10 |
| Find all providers in YAKIMA | ||||
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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.