MS. COLLEEN WICKHAM (NPI# 1619368040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619368040 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN WICKHAM |
| Credential | ARNP |
| Practice Address |
233 Nostrand Ave Brooklyn NY 11205-4924 |
| Mailing Address |
55 Water St 12th Floor Credentialing New York NY 10041-0004 |
| Practice Telephone | 7188265900 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339335 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
233 NOSTRAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445456 | Jaleh Yeganeh-parast | Pediatrics | 233 Nostrand Ave, Bedford Williamsburg Ctr, Brooklyn, NY 11205 | 2006-04-11 |
| 1013456870 | Labinia Osei-bonsu | Clinic/Center | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-13 |
| 1134667405 | Joy Fevrier | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-07 |
| 1770021404 | Taiwo Babalola | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205 | 2017-02-01 |
| 1336697036 | Lucas H West | Audiologist | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2016-09-12 |
| 1447629811 | Brooklyn Hearing Associates | Hearing Aid Equipment | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-09-16 |
| 1871971549 | Nada Saymeh | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205 | 2015-05-13 |
| 1477930477 | Evgeniy Leviev | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-04-29 |
| 1407262470 | Shakhira N. D. Evans | Registered Nurse | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2014-07-10 |
| 1396180360 | Marie Nicole Dumas | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 1710588389 | Patricia Ayozie | Nurse Practitioner | 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 | 2020-11-02 |
| 1598363657 | Anna Kleyner | Nurse Practitioner | 2730 Neptune Ave, Brooklyn, NY 11224-2060 | 2020-10-12 |
| 1861090193 | Cheyenne Alexia James | Nurse Practitioner | 358 Halsey St, Brooklyn, NY 11216-2412 | 2020-10-09 |
| 1821605213 | Dudmire Belizaire | Nurse Practitioner | 1267 Ryder St, Brooklyn, NY 11234-2816 | 2020-09-29 |
| 1003423716 | Iris Yuen | Nurse Practitioner | 8609 18th Ave, Brooklyn, NY 11214-3701 | 2020-09-26 |
| 1144832833 | Julia Kogan | Nurse Practitioner | 2544 E 23rd St, Brooklyn, NY 11235-2506 | 2020-08-23 |
| Find all providers in BROOKLYN | ||||
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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.