BRENT MAXWELL WILKINSON


Address: 1806 W Lincoln Ave, Yakima, WA 98902-2473
Phone: 5094524520

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 2160431 05

Office Location

Street Address 1806 W LINCOLN AVE
City YAKIMA
State WA
Zip Code 98902-2473

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

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.

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