DR. CHRISTINA LYNNE WISE (NPI# 1104272491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104272491 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA LYNNE WISE |
| Credential | PH.D. |
| Practice Address |
10427 Cromwell Dr Dallas TX 75229-5949 |
| Practice Telephone | 6176690435 |
| Mailing Telephone | 6176690435 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
36522 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134541410 | Christina M Wise | Nurse Anesthetist, Certified Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2014-01-06 |
| 1730342635 | Christina Shuman Wise | Psychiatry & Neurology | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-07-10 |
| Street Address |
10427 CROMWELL DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75229-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454602 | Obioma Anyogu | Nurse Practitioner | 1521 East Royal Lane, Apt 3208, Farmersbrabch, TX 75229 | 2020-03-30 |
| 1700399003 | Margaret F Wangsgaard | Dietitian, Registered | 3262 Dothan Ln, Dallas, TX 75229 | 2017-11-08 |
| 1710333075 | Egma LLC | Eyewear Supplier (Equipment, not the service) | 11234 Goodnight Lane, Dallas, TX 75229 | 2016-05-05 |
| 1770955924 | Sarah Loucks | Occupational Therapist | 3265 Dartmoor Ct, Dallas, TX 75229 | 2015-10-28 |
| 1750711222 | Maureen Elizabeth Veysset | Nurse Practitioner | 3207 Rotan Ln, Dallas, TX 75229 | 2013-11-20 |
| 1811248826 | Virginia F. Velez | Counselor | 2636 Walnut Hill Ln., Suite #330, Dallas, TX 75229 | 2012-10-01 |
| 1306128210 | Marshal Neil Decker | Technician, Other | 11034 Shady Trail, Suite 112, Dallas, TX 75229 | 2011-09-16 |
| 1275785883 | Rc Chiropractic and Sports Injury Care | Chiropractor | 11029 Shady Trail, 113, Dallas, TX 75229 | 2008-10-14 |
| 1639335672 | Young An Church | Durable Medical Equipment & Medical Supplies | 11445 Emerald St, Dallas, TX 75229 | 2008-07-30 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Find all providers in zip 75229 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580283 | Insight & Change | Psychologist | 4245 N Central Expy Ste 260, Dallas, TX 75205-4581 | 2020-02-19 |
| 1356903611 | Katie Chadwick | Psychologist | 1412 Main St Ste 320, Dallas, TX 75202-4701 | 2019-07-07 |
| 1457825689 | Sunrise Counseling Pllc | Psychologist | 16990 Dallas Pkwy Ste 107, Dallas, TX 75248-1903 | 2019-01-22 |
| 1356843593 | Brittany Escuriex | Psychologist | 12810 Hillcrest Rd Ste B123, Dallas, TX 75230-1525 | 2018-03-04 |
| 1619495496 | Jose Jesus Lopez | Psychologist | 8727 Forest Hills Blvd, Dallas, TX 75218-4026 | 2017-08-31 |
| 1558883611 | Justine Kallaugher | Psychologist | 11551 Forest Central Dr Ste 200, Dallas, TX 75243-3966 | 2017-07-11 |
| 1740636273 | Felicia Darnell Fisher | Psychologist | 13140 Coit Rd Ste 323, Dallas, TX 75240-5769 | 2016-05-13 |
| 1619116100 | Martin C. Vega | Psychologist | 2815 Reagan St, #2, Dallas, TX 75219-7117 | 2009-02-06 |
| 1932361946 | Kimberly Ann Horn | Psychologist | 7151 Gaston Ave, #102, Dallas, TX 75214-4145 | 2008-06-30 |
| 1245418037 | Marilyn Kissinger | Psychologist | 6370 Lbj Fwy, Suite 276, Dallas, TX 75240-6459 | 2008-02-05 |
| Find all providers in DALLAS | ||||
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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.