MARY M. WILCOX (NPI# 1689725541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689725541 |
| Entity Type | Individual |
| Full Name | MARY M. WILCOX |
| Credential | ARNP |
| Practice Address |
1708 Yakima Ave Tacoma WA 98405-5307 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2535963339 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00141664 | WA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30007015 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9647975 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324905 | Mary Leticia Wilcox | Technician | 52 Briarwood Ln, Rocky Gap, VA 24366-7112 | 2019-09-09 |
| 1205157914 | Mary E Wilcox | Registered Nurse | 201 Cedar Se, Suite 4640, Albuquerque, NM 87106 | 2010-06-16 |
| 1790248201 | Mary Wilcox | Social Worker | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2019-04-11 |
| 1144742313 | Mary Mitchell Wilcox | Nurse Practitioner | 613 Elizabeth St Ste 704, Corpus Christi, TX 78404 | 2017-07-10 |
| 1295151827 | Mary Wilcox | Case Manager/Care Coordinator | 4001 Leavenworth St, Omaha, NE 68105-1026 | 2014-03-06 |
| 1689617268 | Mary Elizabeth Wilcox | Physical Therapist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2006-06-13 |
| Street Address |
1708 YAKIMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758484 | Manuel Guillermo Iregui | Internal Medicine | 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 | 2005-08-25 |
| 1356962401 | Austin Frazer Forbes | Surgery | 1708 Yakima Ave, Tacoma, WA 98405-5307 | 2020-04-29 |
| 1982146684 | Sharleen Huon | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-11 |
| 1053853903 | Christine Ibrahim | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-09 |
| 1598207524 | Inna Vasilyev | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-08 |
| 1346782562 | Shawn Hagland | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-07 |
| 1427500867 | Ferowsi Pecoraro | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-02 |
| 1700338530 | Cynthia Hinds | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-27 |
| 1114477064 | Kayla Grzybowski | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-04 |
| 1619427515 | Jessica Chung | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1679909733 | Soo Mi Yoon | Nurse Practitioner | 1617 So Jst, Tacoma, WA 98405 | 2013-09-20 |
| 1417291774 | Giles Daniel Durano | Nurse Practitioner | 1623 E J St Ste 2, Tacoma, WA 98421-1602 | 2012-11-26 |
| 1649373671 | Donna Maria Parker-bush | Nurse Practitioner | Va Puget Sound Hcs American Lake Divison, 9600 Veterns Drive, Tacoma, WA 98493-0001 | 2006-09-06 |
| 1497867659 | Diana L Dewell | Nurse Practitioner | Madigan Army Medical, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-08-31 |
| 1023012416 | Kimberley Anne Burns | Nurse Practitioner | 1617 S J St, Tacoma, WA 98405-4930 | 2005-06-13 |
| 1336748664 | Sabrina S Raj | Nurse Practitioner | 1901 S Cedar St Ste 301, Tacoma, WA 98405-2302 | 2020-10-19 |
| 1952879413 | Martha Moreno | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-11-02 |
| 1194205872 | Brittany Ann Schroeder | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-08-21 |
| 1932686797 | Colby Christopherson | Nurse Practitioner | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2018-07-25 |
| Find all providers in TACOMA | ||||
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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.