DR. NIKKI ULLRICH WACKER (NPI# 1568460756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568460756 |
| Entity Type | Individual |
| Full Name | DR. NIKKI ULLRICH WACKER |
| Credential | MD |
| Practice Address |
3041 Churchill Dr Suite 300 Flower Mound TX 75022 |
| Mailing Address |
3041 Churchill Dr Suite 300 Flower Mound TX 75022-2706 |
| Practice Telephone | 9726911240 |
| Practice Fax Number | 9726912073 |
| Mailing Telephone | 9726911240 |
| Mailing Fax Number | 9726912073 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | K9450 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3041 CHURCHILL DR SUITE 300 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960210 | Jocelyn B Dunham | Family Medicine | 3041 Churchill Dr, Suite 500, Flower Mound, TX 75022-2706 | 2005-05-27 |
| 1295261915 | Elizabeth Miller | Registered Nurse | 3041 Churchill Dr, Ste 300 - Ste 300, Flower Mound, TX 75022-2706 | 2017-05-02 |
| 1497027460 | Alice Hildebrand | Physician Assistant | 3041 Churchill Dr, Flower Mound, TX 75022-2706 | 2012-02-06 |
| 1245404805 | Jennifer Marie Pape | Pediatrics | 3041 Churchill Dr, Suite 300, Flower Mound, TX 75022-2706 | 2008-04-15 |
| 1104094762 | Jocelyn B Dunham, Md,pa | Family Medicine | 3041 Churchill Dr, Suite 500, Flower Mound, TX 75022-2706 | 2008-02-18 |
| 1295932325 | Debra A Naylor, Md Pa | Pediatrics | 3041 Churchill Dr, Suite 300, Flower Mound, TX 75022-2706 | 2007-07-02 |
| 1437125101 | Debra A Naylor Md Pa | Pediatrics | 3041 Churchill Dr, Ste 300, Flower Mound, TX 75022 | 2006-02-23 |
| 1891791869 | Debra A Naylor | Pediatrics | 3041 Churchill Dr, Suite #300, Flower Mound, TX 75022-2706 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356622 | Ann Ball | Nurse Practitioner | 2405 Bayshore Drive, Flower Mound, TX 75022 | 2020-08-11 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1194344812 | Today Dental of Flower Mound Pllc | Dentist | 2840 Flower Mound Rd, Suite 120, Flower Mound, TX 75022 | 2020-04-13 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| 1861948572 | Icarepros, LLC | Home Health | 4508 Cassandra Drive, Flower Mound, TX 75022 | 2016-09-01 |
| 1912378837 | Tmj & Sleep Therapy Centre of North Texas, LLC | Dentist | 1005 Long Prairie Road, Suite 100, Flower Mound, TX 75022 | 2015-10-19 |
| 1689056863 | Twila Michelle Farrar | Counselor | 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 | 2015-06-24 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1679989313 | Uap Keller Endo, LLC | Nurse Anesthetist, Certified Registered | 1001 Surrey Lane, Flower Mound, TX 75022 | 2014-07-02 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| Find all providers in zip 75022 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1366545709 | Karri Danielle Dutton | Pediatrics | 3871 Long Prairie Road, Flower Mound, TX 75028 | 2006-09-07 |
| 1780695874 | Kiran Bhikulal Kanadia | Pediatrics | 3101 Churchill Dr Ste 200, Flower Mound, TX 75022-2732 | 2006-08-11 |
| 1285661140 | Harminder Singh Dhaliwal | Pediatrics | 4900 Long Prairie Road, Ste 100, Flower Mound, TX 75028 | 2006-06-27 |
| 1083673305 | Carolyn M Wisler | Pediatrics | 4001 Long Prairie Rd Ste 140, Flower Mound, TX 75028-1564 | 2006-03-23 |
| 1558362756 | Ralph John Fitzgerald | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028-1554 | 2005-08-10 |
| 1245626571 | Hannah Chong | Pediatrics | 4001 Long Prairie Rd Ste 140, Flower Mound, TX 75028-1564 | 2015-04-14 |
| 1245404805 | Jennifer Marie Pape | Pediatrics | 3041 Churchill Dr, Suite 300, Flower Mound, TX 75022-2706 | 2008-04-15 |
| 1912192170 | Karri D.dutton,m.d.,p.a. | Pediatrics | 3871 Long Prairie Rd, Flower Mound, TX 75028-1569 | 2007-09-11 |
| Find all providers in FLOWER MOUND | ||||
| City | FLOWER MOUND |
| Zip Code | 75022 |
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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.