JULIE WISE (NPI# 1538225891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538225891 |
Entity Type | Individual |
Full Name | JULIE WISE |
Credential | MS, LCPC, NCC |
Practice Address |
164 S 5th St Montpelier ID 83254-1557 |
Mailing Address |
Po Box 336 Georgetown ID 83239-0336 |
Practice Telephone | 2088474464 |
Practice Fax Number | 2088470980 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC3325 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE CROSS LCPC | 8C493 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700815701 | Julie M Wise | Physician Assistant | Riverview Psychiatric Center, Augusta, ME 04330 | 2006-07-02 |
1922485549 | Julie Wise | Anesthesiology | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2015-05-04 |
1518368034 | Julie Wise | Dietitian, Registered | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2014-09-16 |
1124256193 | Julie C Wise | Speech-Language Pathologist | 1836 South Ave, La Crosse, WI 54601-5429 | 2009-06-29 |
1912035908 | Julie Wise | Physical Therapist | 542 Boulevard Ave, Dickson City, PA 18519-1750 | 2007-03-01 |
Street Address |
164 S 5TH ST |
City | MONTPELIER |
State | ID |
Zip Code | 83254-1557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336125533 | Bear Lake County Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2005-12-20 |
1821482365 | William Crane | Physical Therapist | 164 S 5th St, Montpelier, ID 83254-1557 | 2015-03-23 |
1457741167 | Jacob L. Lufkin | Registered Nurse | 164 S 5th St, Montpelier, ID 83254-1597 | 2015-02-02 |
1184065849 | Joseph Dayton | Physician Assistant | 164 S 5th St, Montpelier, ID 83254-1557 | 2013-07-10 |
1235470196 | Bonnie Colleen Caywood | Dietitian, Registered | 164 S 5th St, Montpelier, ID 83254-1557 | 2013-03-01 |
1376871749 | Bear Lake County Memorial Hospital | Orthopaedic Surgery | 164 S 5th St, Montpelier, ID 83254-1557 | 2009-11-24 |
1639399793 | Bear Lake Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-30 |
1619195989 | Bear Lake County Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-23 |
1386767465 | Richard Bergman | Social Worker | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-06 |
1699814574 | Bear Lake County Memorial Hospital | Pharmacy | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
Find all providers in zip 83254 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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---|---|---|---|---|
1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
1801410741 | Michele Boyd Delaney | Counselor | 90 Main St Ste 311, Montpelier, VT 05602-3242 | 2020-06-06 |
1275187288 | Wendy Halley | Counselor | 97 State St, Montpelier, VT 05602-3218 | 2019-07-29 |
1407329857 | Kenneth Pryor | Counselor | 14662 Bethany Church Rd, Montpelier, VA 23192-2611 | 2019-01-08 |
1487138061 | Brad Joseph Nelson | Counselor | 822 Washigton St, Montpelier, ID 86325-1423 | 2018-09-20 |
1508370073 | Virginia Giles | Counselor | 149 State St, Montpelier, VT 05602-2965 | 2017-11-20 |
1578072211 | Dianne Turenne | Counselor | 147 State St Ste 4, Montpelier, VT 05602-3301 | 2017-09-26 |
1922524370 | Claire Berry | Counselor | 149 State St # 6, Montpelier, VT 05602-2965 | 2017-08-17 |
1346653870 | Noah Weinstein | Counselor | 56 E State St, Montpelier, VT 05602-3012 | 2014-06-02 |
1225470644 | Lori-ann Christie | Counselor | 52 Prospect Street, Apt 3, Montpelier, VT 05602 | 2013-07-26 |
Find all providers in MONTPELIER |
City | MONTPELIER |
Zip Code | 83254 |
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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.