RUTHANNE WILKES, LLC (NPI# 1043717580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043717580 |
| Entity Type | Organization |
| Organization Name | RUTHANNE WILKES, LLC |
| Practice Address |
256 Honeysuckle Road Suite 2 Dothan AL 36305-1168 |
| Mailing Address |
256 Honeysuckle Rd Ste 2 Dothan AL 36305-1168 |
| Practice Telephone | 3347926736 |
| Practice Fax Number | 3347926737 |
| Mailing Telephone | 3347926736 |
| Mailing Fax Number | 3347926737 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MRS. RUTHANNE WILKES (OWNER) |
| Authorized Official Telephone | 3347926736 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-074982 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 179654 | 05 |
| Street Address |
256 HONEYSUCKLE ROAD SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767768 | Ann Liebert Jacobs | Psychologist | 256 Honeysuckle Road, Suite 14, Dothan, AL 36305 | 2006-09-06 |
| 1710082896 | Richard Woodland Kohl Jr. | Counselor | 256 Honeysuckle Road, Ste 14, Dothan, AL 36305 | 2006-09-14 |
| 1265535462 | James Walter Jacobs | Psychologist | 256 Honeysuckle Road, Suite 14, Dothan, AL 36305 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1679114532 | Danielle Lee | Nurse Practitioner | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-10-02 |
| 1669025854 | Chelesia Burkes-brown | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303 | 2019-07-17 |
| 1952859506 | Precious Barnes | Nurse Practitioner | 101 Medical Dr, Dothan, AL 36303-6903 | 2016-09-12 |
| 1982090767 | Oltea Munteanu | Nurse Practitioner | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2015-04-08 |
| 1538508643 | Angela Dawkins | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-06-21 |
| 1326306358 | Rhonda Mishaun Snow | Nurse Practitioner | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2012-04-27 |
| 1083829873 | Ruthanne Wilkes | Nurse Practitioner | 256 Honeysuckle Rd, Ste 2, Dothan, AL 36305-1168 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| 1437661030 | Susan Nicole Bettis | Nurse Practitioner | 295 S Jackson St Ste B, Grove Hill, AL 36451-3231 | 2017-11-04 |
| 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.