CARLA M WISE (NPI# 1336768993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336768993 |
| Entity Type | Individual |
| Full Name | CARLA M WISE |
| Credential | APRN, FNP-C |
| Practice Address |
1305 N Elm St Henderson KY 42420-2783 |
| Mailing Address |
5440 Highway 136 W Henderson KY 42420-9611 |
| Practice Telephone | 2708277700 |
| Mailing Telephone | 2708694151 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3014414 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014414 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1305 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
| 1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
| 1659993582 | Deaconess Clinic, Inc | Internal Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-05-14 |
| 1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
| 1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1962055863 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-19 |
| 1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
| 1780249060 | Methodist Health, Inc. | Anesthesiology | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-05-02 |
| 1740753086 | Andrea Lynn Clemons | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| 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 |
|---|---|---|---|---|
| 1699376558 | Kody Brett Allard | Nurse Practitioner | 1681 Keepsake Ave, Henderson, NV 89014-7562 | 2020-11-05 |
| 1306495080 | Rodelyn Arceo | Nurse Practitioner | 2405 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2718 | 2019-09-05 |
| 1972165421 | Deaconess Clinic Inc | Nurse Practitioner | 1305 N Elm St Ste G, Henderson, KY 42420-2783 | 2019-07-05 |
| 1811456486 | Genica Felise Gelson | Nurse Practitioner | 2839 St. Rose Parkway, Ste. 160, Henderson, NV 89052-4849 | 2019-03-13 |
| 1306310354 | Noni Hayman | Nurse Practitioner | 1769 Beechnut Ave, Henderson, NV 89074-0955 | 2019-01-13 |
| 1659840270 | Ronnie Malalay Bordador | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2018-11-14 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1528566460 | Gloria Santiaguel Mandel | Nurse Practitioner | 191 Mescalero Trl, Henderson, NV 89074-1037 | 2018-01-25 |
| 1821500141 | Samantha Leigh Sylvia | Nurse Practitioner | 568 Ruin Creek Rd Ste 6, Henderson, NC 27536-5921 | 2017-10-26 |
| 1144739707 | Dignity Health Medical Group Nevada, LLC | Nurse Practitioner | 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 89074-5991 | 2017-09-27 |
| Find all providers in HENDERSON | ||||
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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.