MS. HEATHER MARIE WALLICK (NPI# 1588908347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588908347 |
| Entity Type | Individual |
| Full Name | MS. HEATHER MARIE WALLICK |
| Credential | ANP-C |
| Practice Address |
5820 York Rd Baltimore MD 21212-3610 |
| Mailing Address |
7708 Old Alexandria Ferry Rd Clinton MD 20735-1872 |
| Practice Telephone | 3012660493 |
| Practice Fax Number | 8445871405 |
| Mailing Telephone | 7177554422 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012547 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
R207551 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERICAN ACADEMY OF NURSE PRACTITIONERS | A0912084 | 01 |
| Street Address |
5820 YORK RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068196 | Total Renal Care Inc | Clinic/Center | 5820 York Rd, Ste 10, Baltimore, MD 21212-3620 | 2006-03-23 |
| 1376142372 | Christen Monique Williams | Counselor | 5820 York Rd, Baltimore, MD 21212-3610 | 2020-10-21 |
| 1194342824 | Jacquetta S Richardson | Social Worker | 5820 York Rd, Baltimore, MD 21212-3610 | 2020-06-29 |
| 1932724887 | Ovadia Golfeiz | Social Worker | 5820 York Rd, Baltimore, MD 21212-3610 | 2020-06-16 |
| 1013575042 | Roxana Ioana Oliver | Social Worker | 5820 York Rd, Baltimore, MD 21212-3610 | 2019-06-04 |
| 1508421066 | Taylor White | Social Worker | 5820 York Rd, Baltimore, MD 21212-3610 | 2019-05-09 |
| 1629631635 | Germaine Banner-wills | Counselor | 5820 York Rd, Baltimore, MD 21212-3610 | 2019-04-16 |
| 1356886022 | Adam Johnson | Counselor | 5820 York Rd, Suite 202, Baltimore, MD 21212-3610 | 2017-01-04 |
| 1225573744 | Caleb Hawley-brillante | Social Worker | 5820 York Rd, Suite 201, Baltimore, MD 21212-3610 | 2016-12-20 |
| 1760926158 | Susannah Benton | Counselor | 5820 York Rd, Suite 201, Baltimore, MD 21212-3610 | 2016-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126619 | Wilbrinas Medical Services | Nurse Practitioner | 811 Barry Ln, Joppa, MD 21085-3901 | 2019-07-18 |
| 1215284815 | Patrick Matthew Mcdonald | Nurse Practitioner | 135 N Parke St, Aberdeen, MD 21001-2428 | 2012-08-14 |
Please comment or provide details below to improve the information on MS. HEATHER MARIE WALLICK.
| 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.