AMY WICKHAM (NPI# 1851570485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851570485 |
| Entity Type | Individual |
| Full Name | AMY WICKHAM |
| Practice Address |
1252 S Avondale Blvd Avondale AZ 85323-8900 |
| Practice Telephone | 6234785600 |
| Mailing Telephone | 6234785600 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
D01414131 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654304 | Amy Lee Wickham | Physical Therapy Assistant | 14196 National Rd Sw, Etna, OH 43068-3365 | 2020-06-24 |
| Street Address |
1252 S AVONDALE BLVD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003968421 | Dawn Marie Flores | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2007-01-17 |
| 1861046823 | Victoria Anna Powers | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2019-07-29 |
| 1336793462 | Morgan Lee Herath | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2019-07-26 |
| 1093292609 | Christopher Andrew Ramirez | Specialist/Technologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2018-07-26 |
| 1922527308 | Natalie Heldenbrand | Specialist/Technologist | 1252 S Avondale Blvd, Avondale, AZ 85323 | 2017-09-16 |
| 1588189161 | Mar Alejandra Bonilla Yanez | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2017-08-04 |
| 1144773995 | Kristin Hong | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2016-07-28 |
| 1407309255 | Brittney Whorl | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2016-07-28 |
| 1740645944 | Martha Riemenschneider | Registered Nurse | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2015-12-15 |
| 1518343300 | Mariah Jean Peterson | Speech-Language Pathologist | 1252 S Avondale Blvd, Avondale, AZ 85323-8900 | 2015-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310563 | Carin L Vierhout | Specialist/Technologist | 12745 W Monte Vista Rd, Avondale, AZ 85392-6430 | 2020-03-11 |
| 1508419839 | Mya J Guerra | Specialist/Technologist | 4637 N 123rd Dr, Avondale, AZ 85392-4267 | 2019-07-16 |
| 1760049159 | Leticia G Cantu | Specialist/Technologist | 2102 N 114th Dr, Avondale, AZ 85392-5225 | 2019-05-22 |
| 1487218020 | Lisa L Robbins | Specialist/Technologist | 11005 W Adams St, Avondale, AZ 85323-6898 | 2019-04-29 |
| 1285108456 | Destiny Dzibinski | Specialist/Technologist | 623 S 122nd Ln, Avondale, AZ 85323-8425 | 2019-01-21 |
| 1922598242 | Senji L Dallas | Specialist/Technologist | 11182 W Hadley St, Avondale, AZ 85323-6822 | 2018-05-11 |
| 1669969598 | Diana Chisum | Specialist/Technologist | 2629 N 110th Dr, Avondale, AZ 85392-5892 | 2018-04-17 |
| 1689109167 | Stacey Giron | Specialist/Technologist | 11952 W Rio Vista Ln, Avondale, AZ 85323-7726 | 2017-04-21 |
| 1255874525 | Sarah Sevilla | Specialist/Technologist | 1818 N 113th Ave, Avondale, AZ 85392-5233 | 2016-11-18 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| Find all providers in AVONDALE | ||||
Please comment or provide details below to improve the information on AMY WICKHAM.
| 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.