JENNIFER CHRISTINE WICHMAN (NPI# 1952749764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952749764 |
Entity Type | Individual |
Full Name | JENNIFER CHRISTINE WICHMAN |
Other Name | JENNIFER CHRISTINE MCDONALD |
Credential | CNP |
Practice Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619 |
Mailing Address |
12032 Golden Gate Ave Ne Albuquerque NM 87111-5359 |
Practice Telephone | 5057277001 |
Mailing Telephone | 5052640362 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2020-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
CNP02203 | NM | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 02203 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
601 DR MARTIN LUTHER KING JR AVE NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87102-3619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
1114533239 | Mattie Firlit | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-09-23 |
1184263303 | Seth Tyler Gambone | Nurse Anesthetist, Certified Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-01-06 |
1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
1396218095 | Caroline Jane Spencer | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-01-04 |
1023596491 | Jason Michael Rotonda | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 | 2018-07-30 |
1275010985 | Main Street Anesthesia of New Mexico, LLC | Anesthesiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-07-25 |
1740779560 | Paris Arlette Cook | Pharmacist | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-05-07 |
1386150076 | Raiza Stephanie Mena | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-12-18 |
1255843710 | Bernadette Perea-zamora | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
Find all providers in zip 87102 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538612353 | Jennifer Vergeer | Nurse Practitioner | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2016-07-28 |
1730510652 | Michelle Ingrid Adler | Nurse Practitioner | 3804 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2013-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588873301 | Karim Singh | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-05-21 |
City | ALBUQUERQUE |
Zip Code | 87102 |
Please comment or provide details below to improve the information on JENNIFER CHRISTINE WICHMAN.
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.