KELLY LYNN WYCINSKI (NPI# 1780669259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780669259 |
Entity Type | Individual |
Full Name | KELLY LYNN WYCINSKI |
Credential | CNP |
Practice Address |
2725 Pinkerton Ln Zanesville OH 43701-1513 |
Mailing Address |
859 N Main St Malta OH 43758-9007 |
Practice Telephone | 7408919000 |
Practice Fax Number | 7408919001 |
Mailing Telephone | 7409626111 |
Mailing Fax Number | 7409622182 |
Enumeration Date | 2005-12-07 |
Last Update Date | 2019-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN.CNP.06287 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2366514 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
975 Bethesda Dr, Zanesville, OH 437017500 | 7404546808 |
Street Address |
2725 PINKERTON LN |
City | ZANESVILLE |
State | OH |
Zip Code | 43701-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396261756 | Muskingum Valley Health Centers | Clinic/Center | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2017-08-17 |
1790201168 | Muskingum Valley Health Centers | Clinic/Center | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2017-08-17 |
1639529936 | Alfred Kirkbride | Counselor | 2725 Pinkerton Ln, Suite 116, Zanesville, OH 43701-1513 | 2016-06-16 |
1437530128 | Kevin Doyle | Pediatrics | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2015-06-18 |
1144610296 | Lindsey Nicole Cornett | Social Worker | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2015-01-28 |
1255585790 | Timothy L Ickes | Physician Assistant | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2008-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
Find all providers in zip 43701 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013033737 | Sheryl L Ross | Nurse Practitioner | 716 Adair Ave, Zanesville, OH 43701-2836 | 2007-03-22 |
1811973142 | Stacie Sweet | Nurse Practitioner | 716 Adair Ave, Zanesville, OH 43701-2836 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384790 | Kimberly Chmielewski | Nurse Practitioner | 3422 Cross Creek Cir, Wooster, OH 44691-1861 | 2020-10-21 |
1649877077 | Lee Danielle Watts | Nurse Practitioner | 2152 E State Route 29, Urbana, OH 43078-9779 | 2020-10-08 |
1003425281 | Jessica Shattuck | Nurse Practitioner | 108 Slippery Rock Ln, Berea, OH 44017-3155 | 2020-07-23 |
1205460060 | Katherine Niles | Nurse Practitioner | 7884 Oak Valley Rd, Reynoldsburg, OH 43068-1577 | 2020-03-02 |
1447803267 | Amy Kathleen Mock | Nurse Practitioner | 575 Westar Xing Ste 102, Westerville, OH 43082-7815 | 2019-07-21 |
1659933729 | Ashley Marie Brown | Nurse Practitioner | 2055 Crocker Rd Ste 206, Westlake, OH 44145-2197 | 2019-06-28 |
1144881772 | Erin Burris | Nurse Practitioner | 201 5th St Ne Ste 15, Barberton, OH 44203-3017 | 2019-06-25 |
1326604299 | Tiffany Messerall | Nurse Practitioner | 1577 Guilford Rd, Columbus, OH 43221-3850 | 2019-05-15 |
1093298689 | Jennifer Emrick | Nurse Practitioner | 3909 Orange Pl Ste 4400, Beachwood, OH 44122-4482 | 2018-09-11 |
1730661703 | Lisa Taormina-dingman | Nurse Practitioner | 7067 Tiffany Blvd Ste 220, Poland, OH 44514-1981 | 2018-09-05 |
Find all providers with the same taxonomy |
City | ZANESVILLE |
Zip Code | 43701 |
Please comment or provide details below to improve the information on KELLY LYNN WYCINSKI.
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.