ANDREA LYNNE WYDMAN (NPI# 1003055757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003055757 |
| Entity Type | Individual |
| Full Name | ANDREA LYNNE WYDMAN |
| Other Name | MS. ANDI WYDMAN |
| Credential | RN |
| Practice Address |
959 Broad Blvd Dayton OH 45419-2029 |
| Practice Telephone | 9376942931 |
| Practice Fax Number | 9372986388 |
| Mailing Telephone | 9376942931 |
| Mailing Fax Number | 9372986388 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN130797 | OH | Nursing Service Providers |
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN130797 | OH | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN 130797 | OH | Nursing Service Providers |
| Street Address |
959 BROAD BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45419-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812883 | Velma Barber | Social Worker | 1032 Hampshire Rd, Dayton, OH 45419 | 2014-04-30 |
| 1467894790 | James F. Sheridan | Neurological Surgery | 235 Park Rd, Dayton, OH 45419 | 2013-07-29 |
| 1437365939 | Stacy Marie Purvis | Home Health Aide | 1228 Hale Avenue, Kettering, OH 45419 | 2007-05-14 |
| 1124249727 | Emily Kay Werlein | Counselor | 2600 Far Hills Ave., Suite 304, Dayton, OH 45419 | 2007-05-01 |
| 1568558021 | Dayton Va Medical Center | General Acute Care Hospital | 1730 Ridgeway Rd, Dayton, OH 45419 | 2006-10-04 |
| 1942259742 | David F Vanderburgh | Radiology | 1908 Coolidge Drive, Dayton, OH 45419 | 2006-05-09 |
| 1578552287 | Michael Ian Feldman | Dermatology | 30 Ashridge Rd., Dayton, OH 45419 | 2005-10-14 |
| 1962850222 | Kevin Schmidt Tanager | Pathology | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45419 | 2016-05-27 |
| 1366558645 | Susan K Kahle | Psychologist | 2600 Far Hills Ave, Suite 321, Oakwood, OH 45419 | 2006-08-21 |
| 1548214059 | Bonnie A. Lazor | Internal Medicine | 1110 Oakwood Ave, Oakwood, OH 45419 | 2006-05-20 |
| Find all providers in zip 45419 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961922 | Derrick Che Chi | Registered Nurse | 4807 Stonehedge St, Dayton, OH 45426-2107 | 2020-08-08 |
| 1881146157 | Tammy Platfoot | Registered Nurse | 9544 Atchison Rd, Dayton, OH 45458-9203 | 2016-11-02 |
| 1558734814 | Michelle Lavender | Registered Nurse | 2041 Fairport Ave, Dayton, OH 45406-3416 | 2015-11-09 |
| 1538577911 | Susan M Gosser | Registered Nurse | 5044 Dinsmore Rd, Dayton, OH 45449-2733 | 2014-07-29 |
| 1659786804 | Melissa Harrison | Registered Nurse | 1517 Huffman Ave, Dayton, OH 45403-3020 | 2014-06-26 |
| 1417296799 | Helen A Nzeffe | Registered Nurse | 5340 Salem Woods Dr, Dayton, OH 45426-1614 | 2013-02-07 |
| 1588901870 | Jennifer Eliesa Hockenberry | Registered Nurse | 145 Westbrook Rd, Dayton, OH 45415-2437 | 2013-01-07 |
| 1508122045 | Laquata Lynn Wood | Registered Nurse | 2908 Loffer Ct, Dayton, OH 45449-3621 | 2012-04-10 |
| 1578855581 | Anne E Donlon | Registered Nurse | 8151 Beechcreek Dr, Dayton, OH 45458-2114 | 2011-05-09 |
| 1366742579 | Teresa A. Moore | Registered Nurse | 1653 Falke Dr, Dayton, OH 45432-3313 | 2010-10-22 |
| Find all providers in DAYTON | ||||
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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.