ALICIA KELLEY WILBER (NPI# 1710407671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710407671 |
Entity Type | Individual |
Full Name | ALICIA KELLEY WILBER |
Other Name | ALICIA KELLEY LONG |
Credential | PA-C |
Practice Address |
750 Central Ave Ste N Dover NH 03820-3434 |
Practice Telephone | (603) 749-2266 |
Mailing Telephone | 6037492266 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2017-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | OTHER CARRIER | 456 | 01 |
Street Address |
750 CENTRAL AVE STE N |
City | DOVER |
State | NH |
Zip Code | 03820-3434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205480514 | Royce Cabalona | Nurse Practitioner | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
Find all providers in zip 03820 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
1881083053 | Mackenzi E Ramus | Physician Assistant | 335 Oxford St Ste A, Dover, OH 44622-1970 | 2015-01-12 |
Find all providers in DOVER |
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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.