DR. ANDREA DENISE WICKERSHAM (NPI# 1942705652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942705652 |
Entity Type | Individual |
Full Name | DR. ANDREA DENISE WICKERSHAM |
Credential | PSY.D. |
Practice Address |
117 Old Soldiers Ln Frankfort KY 40601-6159 |
Mailing Address |
1016 Park Place Dr Richmond KY 40475-3442 |
Practice Telephone | 5028757272 |
Mailing Telephone | 8595827433 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
129186 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100519190 | 05 |
Street Address |
117 OLD SOLDIERS LN |
City | FRANKFORT |
State | KY |
Zip Code | 40601-6159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255383626 | Ggnsc Frankfort LLC | Skilled Nursing Facility | 117 Old Soldiers Ln, Frankfort, KY 40601-6159 | 2006-05-16 |
1508400953 | Frankfort Rehab and Care, LLC | Skilled Nursing Facility | 117 Old Soldiers Ln, Frankfort, KY 40601-6159 | 2019-10-29 |
1104323252 | Ppl Therapeutic Services Pllc | Psychologist | 117 Old Soldiers Ln, Frankfort, KY 40601 | 2018-04-06 |
1487104485 | Frankfort Leasing, LLC | Skilled Nursing Facility | 117 Old Soldiers Ln, Frankfort, KY 40601-6159 | 2016-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
Find all providers in zip 40601 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689287898 | Cheryl Reyes | Psychologist | 20855 S Lagrange Rd Ste 200, Frankfort, IL 60423-2040 | 2020-08-26 |
1275880437 | Sirrena Jean Piercy | Psychologist | 357 N Columbia St, Frankfort, IN 46041-1635 | 2012-08-07 |
1215293287 | Ashley K. Anderson | Psychologist | 20635 Abbey Woods Ct. N. Suite 303-3, Frankfort, IL 60423 | 2012-04-04 |
1760515654 | Harvey Stell Martin IIi | Psychologist | 20635 Abbey Woods Ct N Ste 209, Frankfort, IL 60423-3188 | 2007-03-13 |
1528199114 | Amy Suszko Brown | Psychologist | 15 Oak St Ste 2b, Frankfort, IL 60423-1486 | 2007-03-08 |
1346385382 | Barbara Sue Domingo Henderson | Psychologist | 308 Wilkinson St, Frankfort, KY 40601-1828 | 2007-02-20 |
1144376641 | John Steven Scheffler | Psychologist | 21316 Brown Dr, Frankfort, IL 60423-9454 | 2007-01-26 |
1700932845 | Kathy Kurfman | Psychologist | 358 E Clinton St, Frankfort, IN 46041-1907 | 2007-01-25 |
1770592990 | Kwang H Choi | Psychologist | 9645 Lincolnway Ln Ste 207a, Frankfort, IL 60423-1908 | 2006-08-05 |
1104323252 | Ppl Therapeutic Services Pllc | Psychologist | 117 Old Soldiers Ln, Frankfort, KY 40601 | 2018-04-06 |
Find all providers in FRANKFORT |
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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.