CARRIE LEE WICKWARE (NPI# 1992908008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992908008 |
| Entity Type | Individual |
| Full Name | CARRIE LEE WICKWARE |
| Credential | CDE |
| Practice Address |
750 S Bascom Ave Diabetes Ed San Jose CA 95128-2603 |
| Mailing Address |
1590 Queensbury Ave Los Altos CA 94024-5843 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 6509030889 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RNH321148 | CA | Nursing Service Providers |
| Street Address |
750 S BASCOM AVE DIABETES ED |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598449 | County of Santa Clara | Clinic/Center | 750 S Bascom Ave, Valley Health Center At Bascom, San Jose, CA 95128-2603 | 2005-09-12 |
| 1386193951 | Shelley Wood | Dietitian, Registered | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2016-09-23 |
| 1942605282 | Semhar Hailemicael | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2014-10-29 |
| 1154740033 | Alison Chiang | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128 | 2014-04-08 |
| 1962833004 | Annette Watts | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-11-27 |
| 1790128163 | Iliana Harrysson | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-16 |
| 1578806808 | Elvera Sofos | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-04 |
| 1215290663 | Marie Eusalind Tottoc | Pharmacist | 750 S Bascom Ave, Pharmacy, Suite 120, San Jose, CA 95128-2603 | 2012-06-20 |
| 1881952588 | Christine Le | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-05-01 |
| 1982961587 | Yvonne Phan | Pharmacist | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164780086 | Desiree Mehrabian | Registered Nurse | 2211 Moorpark Ave, Suite 218, San Jose, CA 95128-2654 | 2012-04-28 |
| 1902132806 | Bay Area Community Diabetes Educators LLC | Registered Nurse | 1150 S Bascom Ave, Ste 26, San Jose, CA 95128-3509 | 2009-10-27 |
| 1235332339 | Karen Ann Belveal | Registered Nurse | 750 S Bascom Ave, Diabetes Education, San Jose, CA 95128-2603 | 2007-06-06 |
| 1942403043 | Laurie Lai Cheung | Registered Nurse | 750 S Bascom Ave, Diabetes Ed, San Jose, CA 95128-2603 | 2007-06-06 |
| 1467655571 | Theresa T Stang | Registered Nurse | 750 S Bascom Ave, Diabetes Ed, San Jose, CA 95128-2603 | 2007-06-06 |
| 1285837393 | Dorleen Jean Von Raesfeld | Registered Nurse | 750 S Bascom Ave, Diabetes Ed, San Jose, CA 95128-2603 | 2007-06-06 |
| 1356544464 | Lee Wu Yu | Registered Nurse | 750 S Bascom Ave, Diabetes Ed, San Jose, CA 95128-2603 | 2007-06-06 |
| 1326132515 | Mary J. Richardson | Registered Nurse | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-10-03 |
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|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
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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.