DR. MARY WYCKOFF (NPI# 1952457467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952457467 |
Entity Type | Individual |
Full Name | DR. MARY WYCKOFF |
Other Name | DR. MARY WYCKOFF |
Credential | PHD, ACNP, BC, NNP |
Practice Address |
2315 Stockton Ave Sacramento CA 95817 |
Mailing Address |
5373 Monalee Ave Sacramento CA 95819 |
Practice Telephone | 9167033395 |
Mailing Telephone | 3059043661 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2012-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
21525 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1703712 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21525 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
21525 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
3812 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2315 STOCKTON AVE |
City | SACRAMENTO |
State | CA |
Zip Code | 95817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
Find all providers in zip 95817 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104877 | Aimee Yrigan Aquitania | Nurse Practitioner | 701 Howe Ave Ste 50, Sacramento, CA 95825-4670 | 2020-08-12 |
1861957862 | Jarad Reddekopp | Nurse Practitioner | 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 | 2019-02-04 |
1972026391 | Kevin Yi Chen | Nurse Practitioner | 2751 W River Dr Apt 921, Sacramento, CA 95833-3785 | 2017-07-18 |
1790235323 | Kendall Thelen | Nurse Practitioner | 1750 Howe Ave, Suite 500, Sacramento, CA 95825-3367 | 2016-10-06 |
1962950550 | Jennifer Mcgrath | Nurse Practitioner | 2315 Stockton Blvd Ste 4212, Sacramento, CA 95817-2201 | 2016-09-13 |
1659679595 | Nai Sio Saechao | Nurse Practitioner | 9948 Firstone Dr, Sacramento, CA 95829-8149 | 2011-03-01 |
1356464333 | Jenifer Lyn Rofkahr | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2007-04-06 |
1700926185 | Lorin J Bacon | Nurse Practitioner | 2345 Fair Oaks Blvd # 2853, Sacramento, CA 95825-4708 | 2007-02-07 |
1093799660 | Jeff Scott Kasten | Nurse Practitioner | 2316 Stockton Blvd, Sacramento, CA 95817-2202 | 2005-12-06 |
1477154722 | Myleen Dumagan Romarate | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-03 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95817 |
Please comment or provide details below to improve the information on DR. MARY WYCKOFF.
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.