CAROLYN TEMPERANCE WISE (NPI# 1790208270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790208270 |
| Entity Type | Individual |
| Full Name | CAROLYN TEMPERANCE WISE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3909 Creekside Loop Ste 115 Yakima WA 98902-4880 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5095746095 |
| Practice Fax Number | 5095746098 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60776851 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316218696 | Carolyn L Wise | Registered Nurse | 7841 Ridge Mills Rd, Rome, NY 13440-2202 | 2012-01-19 |
| 1053918144 | Carolyn Elizabeth Wise | Physical Therapist | 830 Falls Creek Dr, Vandalia, OH 45377-8600 | 2020-10-02 |
| 1558625038 | Carolyn Wise | Massage Therapist | 450 Nw Greenwood Ave, Redmond, OR 97756-1531 | 2012-06-28 |
| 1154569556 | Carolyn Denise Wise | Case Manager/Care Coordinator | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2009-01-23 |
| 1477671451 | Carolyn M Wise | Massage Therapist | 314 York Rd, Jenkintown, PA 19046 | 2007-03-27 |
| Street Address |
3909 CREEKSIDE LOOP STE 115 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555664 | Ryan Joseph Beachy | Physician Assistant | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2006-08-13 |
| 1962850776 | Dustin Hurter | Physician Assistant | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2016-06-02 |
| 1306270624 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2013-08-22 |
| 1578808465 | Lisa Ann Jones | Nurse Practitioner | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2012-12-03 |
| 1538463252 | Wade Allen Holden | Physician Assistant | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868713 | Tesa Linstad | Nurse Practitioner | 421 S 47th Ave, Yakima, WA 98908-3204 | 2019-02-27 |
| 1619418365 | Eze A Nwaubani | Nurse Practitioner | 811 W Yakima Ave Ste 104, Yakima, WA 98902-3088 | 2017-03-14 |
| 1417205063 | Amelia Ariel Rutter | Nurse Practitioner | 12 South 8th Street, Yakima, WA 98901 | 2012-08-29 |
| 1578858114 | Laura Marie Stewart | Nurse Practitioner | 3904 Terrace Heights Dr Ste D, Yakima, WA 98901-1568 | 2011-06-11 |
| 1609048560 | Stacie R Olson | Nurse Practitioner | 120 S. 72nd Ave, Suite 102, Healthnow Wv, Yakima, WA 98908-4200 | 2008-03-31 |
| 1700929304 | Jeana M Johnson | Nurse Practitioner | 1117 Tieton Drive, Yakima, WA 98902 | 2007-02-14 |
| 1598851784 | Erica Garza | Nurse Practitioner | 1112 Tieton Dr, Yakima, WA 98902-3836 | 2006-10-05 |
| 1912973181 | Anne M. Reed | Nurse Practitioner | 53 W Nob Hill Blvd, Yakima, WA 98902-4672 | 2006-02-27 |
| 1285604298 | Kimberlee Michelle Tuning | Nurse Practitioner | 311 S. 72nd Avenue, Pacific Crest Family Medicine, Yakima, WA 98908 | 2006-01-23 |
| 1033710207 | Helena Laubach | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2020-11-04 |
| Find all providers in YAKIMA | ||||
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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.