MRS. VICKI LOU WISE-SMITH (NPI# 1851952964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851952964 |
| Entity Type | Individual |
| Full Name | MRS. VICKI LOU WISE-SMITH |
| Practice Address |
500 Pegasus Ct Ste 500 Winchester VA 22602-4596 |
| Mailing Address |
716 W 13th St Front Royal VA 22630-2912 |
| Practice Telephone | 5403134196 |
| Practice Fax Number | 5406867906 |
| Mailing Telephone | 5405356196 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710103350 | VA | Behavioral Health & Social Service Providers |
| Street Address |
500 PEGASUS CT STE 500 |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929042 | Yanika Lewis | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2017-08-29 |
| 1184223091 | John William Mason | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2020-10-21 |
| 1174177042 | Constance Della Sey | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-07-30 |
| 1790339653 | Richard Allen Young | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-07-30 |
| 1801352562 | Christine Courville | Licensed Practical Nurse | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-02-18 |
| 1902362783 | Cheryl Mills | Licensed Practical Nurse | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-02-16 |
| 1548726326 | Brittany Boone | Licensed Practical Nurse | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-02-16 |
| 1093271876 | Carley Brock | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2019-02-16 |
| 1134646292 | Jason Kidwell | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2017-08-29 |
| 1891212965 | Christina L Smith | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1114399243 | Guardianlight of Northwestern Va Incorporated | Home Health | 3343 Valley Ave, Unit # 700, Winchester, VA 22602 | 2015-10-28 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| Find all providers in zip 22602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745926 | Lauren A Mccauley | Counselor | 305 E Piccadilly St, Winchester, VA 22601-5216 | 2019-08-14 |
| 1780166777 | Virginia Addiction Management LLC | Counselor | 117 W Boscawen St Ste 206, Winchester, VA 22601-4140 | 2018-09-05 |
| 1780103853 | Monica Sue Bales | Counselor | 68 Montana Dr, Winchester, OH 45697-9446 | 2017-09-11 |
| 1962929042 | Yanika Lewis | Counselor | 500 Pegasus Ct Ste 500, Winchester, VA 22602-4596 | 2017-08-29 |
| 1275869448 | Acceptance and Recovery, LLC | Counselor | 131 W Boscawen St, Winchester, VA 22601-4115 | 2009-10-23 |
| 1558501049 | John F Lindsey | Counselor | 3042 Valley Ave Ste 110, Winchester, VA 22601-2669 | 2009-02-24 |
| 1679788053 | Anne Taylor Remley | Counselor | 307 S Loudoun St, Winchester, VA 22601-4637 | 2007-05-11 |
| 1720135338 | Jane Ann Thompson | Counselor | 2971 Valley Ave, Winchester, VA 22601-2631 | 2007-01-04 |
| 1215938675 | George Warren Swift | Counselor | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2005-08-09 |
| 1790397867 | Julia L Laurent | Counselor | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2020-08-20 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
Please comment or provide details below to improve the information on MRS. VICKI LOU WISE-SMITH.
| 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.