MRS. MELISSA NICOLE WICKHAM (NPI# 1629229067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629229067 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA NICOLE WICKHAM |
| Other Name | MRS. MELISSA NICOLE SNYDER |
| Credential | OTR/L |
| Practice Address |
4201 Lake Boone Trail Ste. 4 Raleigh NC 27607-7511 |
| Mailing Address |
5911 Oleander Dr Suite 100 Wilmington NC 28403 |
| Practice Telephone | 9197814434 |
| Practice Fax Number | 9197815851 |
| Mailing Telephone | 9103132111 |
| Mailing Fax Number | 9103132119 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6986 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4201 LAKE BOONE TRAIL STE. 4 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730283748 | Brad Wayne Baldwin | Audiologist | 4201 Lake Boone Trail, Suite 105, Raleigh, NC 27607-7511 | 2006-09-11 |
| 1679130454 | Marcie Gale Sussi | Speech-Language Pathologist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607 | 2019-05-28 |
| 1811416381 | Aubrey Starks | Occupational Therapist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607 | 2017-09-15 |
| 1184894065 | Margaret Ashby Munroe | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-03-06 |
| 1649449935 | Katherine Mary Highsmith | Social Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-21 |
| 1457520751 | Veronica Mary Portrait | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-21 |
| 1073781233 | Kory Allison Barbour | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-11 |
| 1851572077 | Bonnie Jo Essig | Physical Therapist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-11-15 |
| 1528254919 | Robin Moore Ramger | Speech-Language Pathologist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-09-19 |
| 1669665790 | Kirstin Marie Lemme | Speech-Language Pathologist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873037 | Christina Connors | Occupational Therapist | 10101 Ethridge Ct, Raleigh, NC 27615-1152 | 2020-08-25 |
| 1750907069 | Shelby Leanna Caulk | Occupational Therapist | 1001 Hillsborough St Apt 204, Raleigh, NC 27603-1556 | 2020-06-23 |
| 1558991083 | Kosmos LLC | Occupational Therapist | 12100 Peed Rd, Raleigh, NC 27614-9259 | 2020-01-23 |
| 1568018059 | Pt Solutions of North Carolina LLC | Occupational Therapist | 10940 Raven Ridge Rd Ste 110, Raleigh, NC 27614-6611 | 2019-08-12 |
| 1063979300 | Jaime Carlisle Fair | Occupational Therapist | 4834 Crockett Ct, Raleigh, NC 27606-6304 | 2019-02-22 |
| 1275008773 | Cassietta Harris | Occupational Therapist | 2505 Birchford Ct, Raleigh, NC 27604-8416 | 2018-10-10 |
| 1710470596 | Rachel Miller Hatchell | Occupational Therapist | 7401 Rolling Dale Ct, Raleigh, NC 27615-5811 | 2018-06-07 |
| 1518479963 | Kristina Marie Carreira | Occupational Therapist | 3803 Computer Dr Ste 200, Raleigh, NC 27609-6525 | 2017-10-25 |
| 1629589197 | Morgan Sawyer | Occupational Therapist | 319 Chapanoke Road Suite 101, Raleigh, NC 27699-2047 | 2017-10-23 |
| 1962952341 | Maggie Sullivan | Occupational Therapist | 1324 Princess Anne Rd, Raleigh, NC 27607-4750 | 2016-10-10 |
| Find all providers in RALEIGH | ||||
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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.