JENNIFER L. WICKS (NPI# 1073511481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073511481 |
| Entity Type | Individual |
| Full Name | JENNIFER L. WICKS |
| Other Name | JENNIFER L. ENSCOE |
| Credential | ARNP |
| Practice Address |
2 Tampa General Cir Stc 5th Floor Tampa FL 33606-3603 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8132590600 |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9343457 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9343457 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019798900 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 5YDQP | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538113212 | Jennifer B Wicks | Physical Therapy Assistant | 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 | 2006-05-19 |
| 1790122125 | Jennifer Susan Wicks | Pediatrics | 225 E Chicago Ave, Box #152, Chicago, IL 60611-2991 | 2013-05-24 |
| Street Address |
2 TAMPA GENERAL CIR STC 5TH FLOOR |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889516 | Anthony O Odibo | Obstetrics & Gynecology | 2 Tampa General Cir, Stc 4th Floor, Tampa, FL 33606-3603 | 2005-05-24 |
| 1215545819 | Corinne Ann Rheinlander | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-07-20 |
| 1558993659 | Ali Mohammad Sobh | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-02-06 |
| 1689210932 | Andrew William Armstrong | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-11-21 |
| 1366008831 | Reka Dora Muller | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-05-10 |
| 1578026845 | Julie-ann Carmichael | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-04-12 |
| 1891253894 | Susana Lizette Soto-rodriguez | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-08 |
| 1639637259 | Amy Kelley Reinke | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-04 |
| 1144703638 | Kara Morgan | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-09-11 |
| 1346729761 | Anna Laura Strang | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953905 | Mayelin Matos | Nurse Practitioner | 8320 W Pocahontas Ave, Tampa, FL 33615-2821 | 2020-08-17 |
| 1184235483 | Kety Uriarte | Nurse Practitioner | 4100 N Tampania Ave, Tampa, FL 33607-6830 | 2020-08-11 |
| 1861001919 | Deborah Diaz Telesford | Nurse Practitioner | 10709 Pleasant Knoll Dr, Tampa, FL 33647-3667 | 2020-07-24 |
| 1699392936 | Medjine Noel | Nurse Practitioner | 7412 French Marigold Ave, Tampa, FL 33619-6941 | 2020-07-02 |
| 1407472129 | Evisencia Mathurin | Nurse Practitioner | 9618 Oak Glade Ave, Tampa, FL 33647-2985 | 2020-06-18 |
| 1811518111 | Ji Universal Medical Group LLC | Nurse Practitioner | 8903 Regents Park Dr Ste 120, Tampa, FL 33647-3083 | 2020-04-28 |
| 1609414135 | Yaima Rodriguez | Nurse Practitioner | 7520 Brookhaven Ct, Tampa, FL 33634-2924 | 2019-12-16 |
| 1366087322 | Sajani Patel | Nurse Practitioner | 5210 Webb Rd Fl 33615, Tampa, FL 33615-4518 | 2019-11-14 |
| 1518501337 | Courtney Anne Sink | Nurse Practitioner | 10515 Villa View Cir, Tampa, FL 33647-2599 | 2019-11-05 |
| 1013472612 | Matthew Bragg | Nurse Practitioner | 13019 Delwood Rd, Tampa, FL 33624-4305 | 2019-02-07 |
| Find all providers in TAMPA | ||||
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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.