MRS. JUDITH ANNE' WISEMAN (NPI# 1043451453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043451453 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH ANNE' WISEMAN |
| Credential | LMHC-S |
| Practice Address |
22 Bluewater Point Rd Niceville FL 32578-4503 |
| Practice Telephone | 8508975852 |
| Mailing Telephone | 8508975852 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6684 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003003583 | Judith A Wiseman | Counselor | 4225 W Glendale Ave, E119, Phoenix, AZ 85051 | 2007-09-28 |
| Street Address |
22 BLUEWATER POINT RD |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346885944 | Lori Marie Miller | Counselor | 186 Red Maple Way, Niceville, FL 32578-3739 | 2019-11-07 |
| 1528339801 | Deborah Joy Hollis | Counselor | 2014 Partin Drive, Crosspoint Counseling Center, Niceville, FL 32578-2741 | 2012-01-19 |
| 1568732543 | Deanna Bishop Eddy | Counselor | 214 Partin Dr S, Niceville, FL 32578-2413 | 2012-01-06 |
| 1184949398 | Tonice Krueger | Counselor | 4566 E Highway 20 Ste 104, Niceville, FL 32578-8839 | 2010-03-30 |
| 1205084720 | Joy Damen Makela | Counselor | 701 John Sims Pkwy E Ste 304, Niceville, FL 32578 | 2008-09-09 |
| 1376736512 | Dominique Tarangelo | Counselor | 182 Wright Cir, Niceville, FL 32578-4230 | 2007-08-21 |
| 1659585222 | Gregory Alan Sheffield | Counselor | 4026 Bond Cir, Niceville, FL 32578-1629 | 2007-05-10 |
| 1932234283 | Karen Abels Hardeman | Counselor | 100 Hart Street, Niceville, FL 32578 | 2007-02-23 |
| 1417066457 | Marilyn Kay Benham | Counselor | 1044 Rocky Bayou Dr, Niceville, FL 32578-2347 | 2006-08-30 |
| 1841203338 | Corine Dodge Grant | Counselor | 1813 John Sims Pkwy E, Suite 1, Niceville, FL 32578-2337 | 2006-08-14 |
| Find all providers in NICEVILLE | ||||
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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.