MICHELLE GILLUM WYATT (NPI# 1124308754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124308754 |
| Entity Type | Individual |
| Full Name | MICHELLE GILLUM WYATT |
| Credential | R.N. |
| Practice Address |
4100 Lake Otis Pkwy Anchorage AK 99508-5229 |
| Mailing Address |
12000 Timberlane Dr Anchorage AK 99515-3324 |
| Practice Telephone | 9075506100 |
| Mailing Telephone | 9077276070 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 23503 | AK | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
23503 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426220 | Michelle Lynn Wyatt | Nurse Practitioner | 3897 Charlestown Rd, New Albany, IN 47150-9562 | 2019-09-16 |
| 1255747051 | Michelle Wyatt | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905 | 2014-07-01 |
| 1386949402 | Michelle Renee Wyatt | Rehabilitation Counselor | 5304 Daywood St, North Las Vegas, NV 89031-7917 | 2011-01-20 |
| 1699713412 | Michelle T Wyatt | Internal Medicine | 1800 Coburg Rd, Eugene, OR 97401-4995 | 2006-06-03 |
| Street Address |
4100 LAKE OTIS PKWY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535502 | Colleen Mary Elizabeth Murphy | Specialist | 4100 Lake Otis Pkwy, Ste 330, Anchorage, AK 99508-5232 | 2005-05-31 |
| 1003389032 | Ashliegh Levesque | Specialist/Technologist, Other | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2019-01-02 |
| 1568961407 | Julia Hyatt | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Anchorage, AK 99508-5229 | 2018-02-06 |
| 1720525942 | Colleen Curley | Nurse Anesthetist, Certified Registered | 4100 Lake Otis Pkwy, Ste102, Anchorage, AK 99508-5229 | 2017-01-25 |
| 1053862607 | U.S. Healthworks Medical Group of Alaska, LLC | Family Medicine | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1043761695 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508-5229 | 2016-10-19 |
| 1679920565 | Leslie Tolliver II | Physician Assistant | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | 2016-05-20 |
| 1205298957 | Primary Care Associates | Clinic/Center | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-22 |
| 1922468743 | Kristin Ashby | Nurse Practitioner | 4100 Lake Otis Pkwy, Suite 322, Anchorage, AK 99508-5229 | 2016-03-07 |
| 1902286701 | Adrian Barniak | Physical Therapist | 4100 Lake Otis Pkwy, Suite 106, Anchorage, AK 99508-5229 | 2015-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286647 | Katianna Juanita Carson | Registered Nurse | 2409 Mcrae Rd Lot 18, Anchorage, AK 99517-2593 | 2020-02-06 |
| 1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1275011009 | Jocelyn Dizon | Registered Nurse | 8341 Pioneer Dr, Anchorage, AK 99504-4714 | 2018-08-03 |
| 1639668452 | Caroline Vemma Bapi | Registered Nurse | 303 E 15th Ave, Anchorage, AK 99501-5234 | 2018-05-07 |
| 1073027942 | Krysta Rose Carrick Byrnes | Registered Nurse | 4141 Ambassador Dr, Anchorage, AK 99508-5928 | 2017-11-29 |
| 1760995070 | Jasper Elizabeth Springman | Registered Nurse | 1711 Lore Rd Apt 307, Anchorage, AK 99507-2969 | 2017-11-08 |
| 1326559626 | Gale Beth Foode | Registered Nurse | 645 G St Ste 100667, Anchorage, AK 99501-3443 | 2017-10-13 |
| Find all providers in ANCHORAGE | ||||
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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.