MRS. SARA SUSAN WILCOX (NPI# 1346560273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346560273 |
| Entity Type | Individual |
| Full Name | MRS. SARA SUSAN WILCOX |
| Credential | FNP-C |
| Practice Address |
2802 W Walker St Breckenridge TX 76424-4000 |
| Practice Telephone | 2545597215 |
| Practice Fax Number | 2545597213 |
| Mailing Telephone | 2545597215 |
| Mailing Fax Number | 2545597213 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2013-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 249480 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
249480 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 363L00000X | 249480 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528504842 | Sara Wilcox | Dental Hygienist | 19782 S Sprague Rd, Oregon City, OR 97045-9640 | 2017-01-10 |
| 1487907465 | Sara Wilcox | Developmental Therapist | 696 Da Vinci Dr, Hampshire, IL 60140-5602 | 2012-10-16 |
| 1376105601 | Sara Morgen Wilcox | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2019-07-08 |
| 1528620275 | Sara Wilcox | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2019-07-02 |
| 1083002364 | Sara Wilcox | Nurse Practitioner | Po Box 553, Swifton, AR 72471-0553 | 2015-01-08 |
| 1720114176 | Sara S Wilcox | Speech-Language Pathologist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
| Street Address |
2802 W WALKER ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip Code | 76424-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687067 | John Ellis Horner | Dentist | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2005-11-22 |
| 1457981458 | Tamryn Elizabeth Anderson | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2020-01-19 |
| 1790329134 | Chelsea Michelle Dickson | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2019-10-29 |
| 1154899037 | Marcela Martinez | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2018-11-08 |
| 1487151452 | Sandra Usaiwevu | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2018-04-06 |
| 1629447859 | Cortney Rachelle Berkley | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2015-09-17 |
| 1417293598 | Diana Lee Price | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2012-12-18 |
| 1417248824 | Shackelford County Community Resource Center | Clinic/Center | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2011-04-20 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| 1275790727 | Kerry G. Snow | Dentist | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944833 | Clear Path Home Care LLC | In Home Supportive Care | 1515 West Walker St, Breckenridge, TX 76424 | 2013-07-08 |
| 1134565732 | Breckenridge Isd | Local Education Agency (LEA) | 206 North Miller St, Breckenridge, TX 76424 | 2013-05-22 |
| 1003063124 | Jeanene R Poston | Social Worker | 117 W Walker St., Breckenridge, TX 76424 | 2008-08-20 |
| 1841462033 | Bez Diagnostics | Clinic/Center | 151 Fm 207, Breckenridge, TX 76424 | 2008-03-27 |
| 1134249873 | Josephine Sally Kelly | Counselor | 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 | 2007-03-29 |
| 1780782672 | Breckenridge Family Clinic Pa | Family Medicine | 103 South Hartford Street, Breckenridge, TX 76424 | 2006-09-21 |
| 1083623326 | Todd Martin Pennartz | Dentist | 1905 W Walker St, Breckenridge, TX 76424 | 2006-08-05 |
| 1720031321 | Stephanie Elnora Stafford | Emergency Medicine | 101 South Hartford, Breckenridge Medical Clinic, Breckenridge, TX 76424 | 2006-05-18 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 1912114406 | Jenifer Lynn Campbell | Physical Therapist | 201 Ridge Rd, Breckenridge, TX 76424-1901 | 2007-05-16 |
| Find all providers in zip 76424 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093070344 | Medcare, LLC | Nurse Practitioner | 435 North Park Ave., Suite 2c, Breckenridge, CO 80424-7399 | 2012-07-11 |
| 1306455431 | Laura Suggs | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-07-24 |
| 1790329134 | Chelsea Michelle Dickson | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2019-10-29 |
| 1629447859 | Cortney Rachelle Berkley | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2015-09-17 |
| 1851774905 | Jessica Wirth | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-07-08 |
| 1447690458 | Breanna Lynn Paulson | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-07-05 |
| 1417293598 | Diana Lee Price | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2012-12-18 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| 1669648036 | Rebecca Lynn Mcintire | Nurse Practitioner | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
Please comment or provide details below to improve the information on MRS. SARA SUSAN WILCOX.
| 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.