DALE PRESCOTT WICKER (NPI# 1215158977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215158977 |
| Entity Type | Individual |
| Full Name | DALE PRESCOTT WICKER |
| Credential | NP |
| Practice Address |
1532 Main Ave. Se Hickory NC 28601-3067 |
| Mailing Address |
Po Box 890308 Charlotte NC 28289-0308 |
| Practice Telephone | 8283255475 |
| Practice Fax Number | 8283255397 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 201285 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201285 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004032 | 05 |
| Street Address |
1532 MAIN AVE. SE |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225599 | Rebecca Ellen Woodbury | Nurse Practitioner | 2874 S Nc 127 Hwy, Hickory, NC 28602-9131 | 2019-10-02 |
| 1689230237 | Allison Cecilia Clay | Nurse Practitioner | 2734 21st St Ne, Hickory, NC 28601-7976 | 2019-05-18 |
| 1023673993 | Heather Taylor Lackey | Nurse Practitioner | 1771 Tate Blvd Se Ste 101, Hickory, NC 28602-4250 | 2019-05-07 |
| 1962969147 | Amber Dawnette Wright | Nurse Practitioner | 4874 Rio De Luna, Hickory, NC 28601-9360 | 2019-02-25 |
| 1285100354 | Brittany England | Nurse Practitioner | 2874 Nc Hwy 127, Hickory, NC 28602-9131 | 2018-10-16 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1154849107 | Jennifer Cashion Waugh | Nurse Practitioner | 735 8th Ave Ne, Hickory, NC 28601-3932 | 2017-08-30 |
| 1922475623 | Sarah Kemick | Nurse Practitioner | 76 N Center St, Hickory, NC 28601-6213 | 2015-08-28 |
| 1437493954 | May K Lee | Nurse Practitioner | 1940 Briarwood Dr Ste B, Hickory, NC 28602-5497 | 2012-11-21 |
| 1740235241 | Karen Celeste Lewis | Nurse Practitioner | 1504 2nd St Ne, Hickory, NC 28601-2551 | 2006-05-23 |
| Find all providers in HICKORY | ||||
Please comment or provide details below to improve the information on DALE PRESCOTT WICKER.
| 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.