MRS. CARMEN RENEE WYCOFF (NPI# 1053645291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053645291 |
| Entity Type | Individual |
| Full Name | MRS. CARMEN RENEE WYCOFF |
| Credential | RN, MSN, ARNP |
| Practice Address |
411 10th St Se Ste 150 Cedar Rapids IA 52403-2449 |
| Practice Telephone | 3193633600 |
| Practice Fax Number | 3193930184 |
| Mailing Telephone | 3193633600 |
| Mailing Fax Number | 3193930184 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2011-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C-096428 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
411 10TH ST SE STE 150 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500573 | Denise A Peck | Nurse Practitioner | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2006-12-04 |
| 1457889149 | Jane Clark Grundman Fischer | Family Medicine | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2017-05-25 |
| 1053727487 | Sara D Spiva | Family Medicine | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2014-07-07 |
| 1881952356 | Kristen Elizabeth Harring | Pediatrics | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2012-05-02 |
| 1710177357 | Bruce W Jasper | Clinical Neuropsychologist | 411 10th St Se Ste 150, Cedar Rapids, IA 52403-2449 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
| 1356595581 | Jill Renae Asprey | Nurse Practitioner | 720 7th Ave Sw, Cedar Rapids, IA 52404-1921 | 2008-11-14 |
| 1639371354 | Keeli Ann Irwin | Nurse Practitioner | 701 10th St Se # 4, Cedar Rapids, IA 52403-1251 | 2007-06-04 |
| 1639160724 | Sharon Yearous | Nurse Practitioner | 6300 42nd St Ne, Cedar Rapids, IA 52411-7755 | 2005-10-29 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1215466347 | Seth Webb | Nurse Practitioner | 4325 Williams Blvd, Cedar Rapids, IA 52404 | 2017-06-12 |
| 1427583301 | Robyn Marie Kolbet | Nurse Practitioner | 855 A Ave Ne Ste 300, Cedar Rapids, IA 52402-5064 | 2017-04-27 |
| 1366828121 | Ciarra Alexandria Lang | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-08-04 |
| 1396120895 | Kourtney Yoder | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-07-25 |
| 1366867301 | Sara Michelle Goslin Neff | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2014-02-27 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on MRS. CARMEN RENEE WYCOFF.
| 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.