BRENT MAXWELL WILKINSON (NPI# 1891319448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891319448 |
Entity Type | Individual |
Full Name | BRENT MAXWELL WILKINSON |
Credential | D.O. |
Practice Address |
1806 W Lincoln Ave Yakima WA 98902-2473 |
Mailing Address |
501 S 5th Ave Yakima WA 98902-3550 |
Practice Telephone | 5094524520 |
Practice Fax Number | 5094525224 |
Mailing Telephone | 5094946700 |
Mailing Fax Number | 5095736275 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-07-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | OL61064949 | WA | Allopathic & Osteopathic Physicians |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | OL61064949 | WA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2160431 | 05 |
Street Address |
1806 W LINCOLN AVE |
City | YAKIMA |
State | WA |
Zip Code | 98902-2473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891793832 | Margaret Anne Macleod | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2005-07-13 |
1235744160 | Amanda A Baughman | Registered Nurse | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-09-08 |
1528673456 | Kelly Suko | Registered Nurse | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-09-08 |
1295359743 | Michael Jacob Covington | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-06-01 |
1568086114 | Sarah Wu Ayala | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
1518581164 | Chanel Florence Ostrem | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
1700400355 | Jessica Lauren Coleman | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
1457975005 | Jai J Patel | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
1629692272 | Emily Newton Webb | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
1124653381 | Stephanie R Staley | Registered Nurse | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-03-09 |
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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 | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
1639789761 | Aracely Flores | Student in an Organized Health Care Education/Training Program | 1317 Landon Ave, Yakima, WA 98902-5628 | 2020-08-04 |
1508495078 | Joshua A Macke | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 216, Yakima, WA 98901-8229 | 2020-04-06 |
1053949164 | Stephen Stabbert | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 554, Yakima, WA 98901-8244 | 2020-04-01 |
1215565502 | Krista Lea Luntsford | Student in an Organized Health Care Education/Training Program | 1205 W King St, Yakima, WA 98902-5768 | 2020-03-31 |
1548898067 | Tara L Kronen | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 143, Yakima, WA 98901-8225 | 2020-03-30 |
1093342685 | Christopher Paul Mcdonald Carbullido | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 318, Yakima, WA 98901-8233 | 2020-03-24 |
1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
1013495027 | Isaac N Ginsberg | Student in an Organized Health Care Education/Training Program | 210b N 41st St, Yakima, WA 98901-1290 | 2018-08-01 |
1831687557 | Linsey Christensen | Student in an Organized Health Care Education/Training Program | 207 N 35th Ave, Yakima, WA 98902-2221 | 2018-04-27 |
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.