TERRIE L WYNN (NPI# 1033529524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033529524 |
| Entity Type | Individual |
| Full Name | TERRIE L WYNN |
| Other Name | TERRIE L FOSTER |
| Credential | LPN |
| Practice Address |
2202 E 48th St. Davenport IA 52807-1214 |
| Practice Telephone | 5633431810 |
| Practice Fax Number | 5633261901 |
| Mailing Telephone | 5633431810 |
| Mailing Fax Number | 5633261901 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 220930 | NY | Nursing Service Providers |
| Street Address |
2202 E 48TH ST. |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679845218 | Jessica Lynn Raulerson | Licensed Practical Nurse | 101 E Palmetto St, Davenport, FL 33837-4183 | 2012-01-28 |
| 1699931741 | Felicia S. Burrell | Licensed Practical Nurse | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959536 | Ying Jin | Licensed Practical Nurse | 5930 Jenny Ln, Bettendorf, IA 52722-5783 | 2019-12-16 |
| 1245899475 | Darin D Oberhart | Licensed Practical Nurse | 1737 Grant St, Bettendorf, IA 52722-4924 | 2019-06-11 |
| 1417416512 | Brianne Klostermann | Licensed Practical Nurse | 415 Ia-7, Newell, IA 50568 | 2019-03-18 |
| 1649787854 | Jasimine Marie Swayze | Licensed Practical Nurse | 2028 Northgate Dr Ne, Cedar Rapids, IA 52402-3739 | 2018-01-09 |
| 1134630791 | Debbie Ann Dettmer | Licensed Practical Nurse | 4755 Parkridge Ave, Pleasant Hill, IA 50327-7228 | 2017-10-23 |
| 1194252387 | Alycne Boban | Licensed Practical Nurse | 59136 Kidd Rd, Glenwood, IA 51534-6130 | 2017-05-18 |
| 1528592763 | Alisha Markel | Licensed Practical Nurse | 662 Memorial Dr Se, Cedar Rapids, IA 52403-2938 | 2017-04-14 |
| 1407306160 | Rebecka Lindberg | Licensed Practical Nurse | 403 Se C Ave, Gilmore City, IA 50541-8798 | 2016-10-06 |
| 1568818821 | Megan Rogers | Licensed Practical Nurse | 2403 S 5th Ave E, Newton, IA 50208-4243 | 2016-05-05 |
| 1861867970 | Carmen Stewart | Licensed Practical Nurse | 109 Shrader Rd, Iowa City, IA 52245-4921 | 2015-12-01 |
| Find all providers with the same taxonomy | ||||
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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.