WENDI TICE


Address: 4300 W Main St Ste 21, Dothan, AL 36305-1058
Phone: 3349447070

WENDI TICE (NPI# 1982025003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982025003
Entity Type Individual
Full Name WENDI TICE
Practice Address 4300 W Main St Ste 21
Dothan
AL 36305-1058
Practice Telephone 3349447070
Practice Fax Number 3346158463
Mailing Telephone 3349447070
Mailing Fax Number 3346158463
Enumeration Date 2013-12-16
Last Update Date 2014-01-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1-098098 AL Nursing Service Providers
Y 363L00000X Nurse Practitioner 1-098098 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4300 W MAIN ST STE 21
City DOTHAN
State AL
Zip Code 36305-1058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740285931 Jason D. Beaver Surgery 4300 W Main St Ste 21, Dothan, AL 36305-1058 2005-06-15
1184995292 Jason Lee Cox Nurse Practitioner 4300 W Main St Ste 21, Dothan, AL 36305-1058 2012-01-20
1922072834 Victor S Dreicer Thoracic Surgery (Cardiothoracic Vascular Surgery) 4300 W Main St Ste 21, Dothan, AL 36305-1058 2006-02-15
1073508404 Charles Jackie Carpenter Jr. Surgery 4300 W Main St Ste 21, Dothan, AL 36305-1058 2005-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059998 Samantha Nicole Bolden Counselor 1001 John D. Odom Road, Dothan, AL 36305 2019-08-23
1578968780 Aba Therapy & Consulting Services Behavioral Analyst 3124 West Main Street, Suite 9, Dothan, AL 36305 2014-10-30
1306247796 Tracey Lynn Carter Registered Nurse 4300 W Main St Ste 102, Dothan, AL 36305 2014-09-04
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1649555483 Ashley Dawn Morrow Pharmacist 2940 West Main Street, Dothan, AL 36305 2011-10-12
1740599273 Aline M Mays-easley Counselor 309 Ameris Ave, Dothan, AL 36305 2010-10-01
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1639347818 Southeast Alabama Counseling & Behavioral Specialist Residential Treatment Facility, Emotionally Disturbed Children 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 2008-02-11
1770705667 Michala Long Pharmacist 3850 West Main St, Dothan, AL 36305 2007-05-02
Find all providers in zip 36305

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568095446 Marathon Health LLC Nurse Practitioner 131 Cliff Rd, Dothan, AL 36303-5415 2020-02-19
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1902396286 Genevieve Patricia Lewellyn Nurse Practitioner 1184 Upton Rd, Dothan, AL 36305-5134 2018-05-13
1073979886 Sydney Stevens Weber Nurse Practitioner 1052 Ross Clark Cir, Dothan, AL 36303-5425 2016-01-08
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1013310143 Samantha Poole Carter Nurse Practitioner 4300 W Main St Ste 15, Dothan, AL 36305-1058 2014-10-03
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1144469438 Houston County Healthcare Authority Nurse Practitioner 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 2009-02-11
1851430383 Robert Michael Ortiz Nurse Practitioner 1118 Ross Clark Cir Ste 303, Dothan, AL 36301-3002 2007-02-05
1841309648 Malissa Harkleroad Williams Nurse Practitioner 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 2006-08-29
Find all providers in DOTHAN

Competitor

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City DOTHAN
Zip Code 36305

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Dataset Information

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.

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