JENNIFER M WILCOX (NPI# 1386280121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386280121 |
| Entity Type | Individual |
| Full Name | JENNIFER M WILCOX |
| Credential | NP |
| Practice Address |
175 Webster Square Rd Berlin CT 06037-2328 |
| Mailing Address |
26 Maple St Rockfall CT 06481-2026 |
| Practice Telephone | 8604203660 |
| Mailing Telephone | 8603441516 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
8586 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645978 | Jennifer Wilcox | Registered Nurse | 689 E Jericho Tpke, Huntington Station, NY 11746-7501 | 2011-10-04 |
| 1134257884 | Jennifer Lynne Wilcox | Case Manager/Care Coordinator | 367 Lambert Ln, White Mills, KY 42788-9511 | 2007-03-02 |
| 1174570568 | Jennifer Poole Wilcox | Optometrist | 1270 Arbor Place, Dougasville, GA 30180 | 2006-05-30 |
| 1831653492 | Jennifer Wilcox | Nurse Practitioner | 3300 Williams Enterprise Dr, Cookeville, TN 38506-4280 | 2019-01-29 |
| 1780197533 | Jennifer Wilcox | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-11-14 |
| 1215476767 | Jennifer B Wilcox | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-02-16 |
| 1134438567 | Jennifer Kay Wilcox | Registered Nurse | 110 E 4th St, Jamestown, NY 14701-5340 | 2010-10-04 |
| 1659519148 | Jennifer Wilcox | Psychologist | 3736 N High St, Columbus, OH 43214-3523 | 2009-01-22 |
| 1396891289 | Jennifer Wilcox | Counselor | 4212 Se Division St, Suite 100, Portland, OR 97206-1628 | 2007-01-25 |
| Street Address |
175 WEBSTER SQUARE RD |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
| 1336792720 | Urgent Care of Berlin, LLC | Clinic/Center | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550116 | Karen Gibbs | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2020-05-26 |
| 1952963274 | Anne Brereton | Nurse Practitioner | 1311 Barre-montpelier Road, Berlin, VT 05602 | 2019-07-08 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1962656496 | Company Care Center | Nurse Practitioner | 4900 Oak Street, Berlin, OH 44610 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1194322800 | Constantin Razvan Popescu | Nurse Practitioner | 46 Summer View Dr, Monroe, CT 06468-2001 | 2020-10-06 |
| 1538785902 | Lms Health LLC | Nurse Practitioner | 2001 W Main St Ste 244, Stamford, CT 06902-4544 | 2020-06-22 |
| 1760001010 | Mobile Care Partners of Connecticut Pllc | Nurse Practitioner | 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 | 2020-04-15 |
| 1740811454 | Melissa Jennifer Mokel | Nurse Practitioner | 122 Cornerstone Dr, South Windsor, CT 06074-6303 | 2020-01-31 |
| 1861037533 | Olga Poznyur | Nurse Practitioner | 19 Woodland St Ste 21, Hartford, CT 06105-2372 | 2019-11-16 |
| 1356996904 | Virginia Tran | Nurse Practitioner | 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 | 2019-08-09 |
| 1336705839 | Rose-ann Cashema Richards | Nurse Practitioner | 34 Heather Ln, Manchester, CT 06040-6903 | 2019-05-10 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| Find all providers with the same taxonomy | ||||
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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.