CHRISTY WICKUND (NPI# 1811374614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811374614 |
| Entity Type | Individual |
| Full Name | CHRISTY WICKUND |
| Credential | ABOC |
| Practice Address |
601 W Spruce St Ste E Missoula MT 59802-4047 |
| Practice Telephone | 4067280044 |
| Practice Fax Number | 4067280494 |
| Mailing Telephone | 4067280044 |
| Mailing Fax Number | 4067280494 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
601 W SPRUCE ST STE E |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513896 | Shoptikal LLC | Technician/Technologist | 3075 N Reserve St Ste F, Missoula, MT 59808-1390 | 2019-05-11 |
| 1962901355 | Melita Lynnette Schaefer | Technician/Technologist | 2910 S Reserve St Ste B, Missoula, MT 59801-7677 | 2018-02-12 |
| 1356588131 | Ronald Jay Bishop Jr. | Technician/Technologist | 3810 S 7th St W, Missoula, MT 59804-1916 | 2009-01-15 |
| 1437505708 | Aurora Needles | Technician/Technologist | 700 West Kent, Missoula, MT 59801-5719 | 2016-05-05 |
| 1780047399 | Connie Ployhar | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2016-03-31 |
| 1720456924 | Honeyrae King-campbell | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1871961078 | Jen Jones | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1144609421 | Mary Shull | Technician/Technologist | 111 N Higgins Ave, Suite 107, Missoula, MT 59802-4437 | 2015-05-20 |
| 1760814404 | Wade A Everett | Technician/Technologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2013-08-05 |
| 1932439775 | Patricia K Phillips | Technician/Technologist | 700 West Kent, Missoula, MT 59801-7000 | 2009-12-29 |
| Find all providers in MISSOULA | ||||
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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.