JORDAN MARIE WYRICK (NPI# 1558901223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558901223 |
| Entity Type | Individual |
| Full Name | JORDAN MARIE WYRICK |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Mailing Address |
68 S Service Rd Ste 350 Melville NY 11747-2358 |
| Practice Telephone | 5086793131 |
| Mailing Telephone | 5169453107 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | RN.402985 | OH | Student, Health Care |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| 1457867020 | North American Partners In Anesthesia Massachusetts LLC | Nurse Anesthetist, Certified Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505510 | Allison Pereira | Student in an Organized Health Care Education/Training Program | 468 New Boston Rd, Fall River, MA 02720-5834 | 2019-12-20 |
| 1770133951 | Brendan Paul Berube | Student in an Organized Health Care Education/Training Program | 492 Bullock St, Fall River, MA 02720-7657 | 2019-09-18 |
| 1790271526 | L'shaytyse Luciano | Student in an Organized Health Care Education/Training Program | 400 Palmer St Apt 3, Fall River, MA 02724-3254 | 2018-07-04 |
| 1427503622 | Gabriella Healey | Student in an Organized Health Care Education/Training Program | 220 Johnson St, 63d, Fall River, MA 02723-2348 | 2016-08-18 |
| 1770921595 | Christopher R Colgan | Student in an Organized Health Care Education/Training Program | 10 Madison Ct, Fall River, MA 02720-5912 | 2013-06-14 |
| 1780938423 | Megan Kathleen Gaw | Student in an Organized Health Care Education/Training Program | 584 Mount Hope Ave, Fall River, MA 02724-1831 | 2012-11-02 |
| 1285904102 | Valerie R Abrigo | Student in an Organized Health Care Education/Training Program | 27 Rolling Green Dr Apt J, Fall River, MA 02720-7852 | 2012-01-10 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1962715680 | Brittany Elizabeth Massey | Student in an Organized Health Care Education/Training Program | 1563 North Main St., Fall River, MA 02720-2983 | 2010-07-22 |
| 1962538504 | Sheena Marie Baptista | Student in an Organized Health Care Education/Training Program | South Bay Mental Health Center 1563 North Main St, Suite 208, Fall River, MA 02720 | 2007-02-26 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on JORDAN MARIE WYRICK.
| 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.