SARAH RAE WICKENHAUSER (NPI# 1760994404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760994404 |
| Entity Type | Individual |
| Full Name | SARAH RAE WICKENHAUSER |
| Practice Address |
2806 E Andrew Rd Sherman IL 62684 |
| Mailing Address |
2806 E Andrew Rd Sherman IL 62684-9517 |
| Practice Telephone | 2174831900 |
| Mailing Telephone | 2174831900 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016863 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 N 8th St Ste 3b300, Springfield, IL 627011064 | 2172413588 |
| Street Address |
2806 E ANDREW RD |
| City | SHERMAN |
| State | IL |
| Zip Code | 62684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215229836 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 106 Illini Blvd, Sherman, IL 62684 | 2011-05-16 |
| 1609963214 | Leticia A. Drapiza | Family Medicine | 400 St. John's Drive, Sherman, IL 62684 | 2006-10-06 |
| 1366424723 | John P Folkerts | Chiropractor | 420 S Crossing Dr, Sherman, IL 62684 | 2005-11-18 |
| 1548386535 | Jill Noel Edwards | Speech-Language Pathologist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2007-03-21 |
| 1225567936 | Taylor Edwards | Developmental Therapist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2017-06-06 |
| 1659654218 | Sandra J Le | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8480 | 2011-09-21 |
| 1184134587 | Kathryn Elzerman | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8484 | 2017-10-11 |
| 1285934448 | Jennifer Relyea | Speech-Language Pathologist | 720 S 1st St, Sherman, IL 62684-9448 | 2010-10-21 |
| 1063971711 | Grayce Parker | Speech-Language Pathologist | 605 Stonehill Dr, Sherman, IL 62684-9504 | 2019-03-12 |
| 1508254004 | Stacy Nicle Mahinda | Student in an Organized Health Care Education/Training Program | 41 Knollwood Dr, Sherman, IL 62684-9524 | 2015-01-06 |
| Find all providers in zip 62684 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
| 1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
| 1386003564 | Michael Neil Talkington | Nurse Practitioner | 4028 N Us Hwy 75, Sherman, TX 75090-0067 | 2016-02-17 |
| 1104120898 | Texas Sleep Clinic - Sh | Nurse Practitioner | 320 E. Peyton Street, Suite 100, Sherman, TX 75090-0202 | 2011-01-10 |
| 1427166917 | Rose M Marr | Nurse Practitioner | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-08-26 |
| 1548279086 | Nadia Ramadi Emerick | Nurse Practitioner | 425 N Highland Ave Ste 230, Sherman, TX 75092-7383 | 2006-08-05 |
| 1548289366 | Robin D Hanning | Nurse Practitioner | 809 Gallagher Dr, Suite B, Sherman, TX 75090-3111 | 2006-07-19 |
| 1891781308 | Julianne D Pierce | Nurse Practitioner | 3008 Overland Trl, Sherman, TX 75092-4522 | 2005-09-21 |
| 1508412610 | Brittany Rose Reineke | Nurse Practitioner | 204 Medical Dr Ste 240, Sherman, TX 75092-6366 | 2019-08-14 |
| 1649760695 | Angelica Ortiz | Nurse Practitioner | 230 E Evergreen St, Sherman, TX 75090-5056 | 2018-05-15 |
| Find all providers in SHERMAN | ||||
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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.