Carmen Renee Wycoff, RN, MSN, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C-096428 Issued in IA

Practice address

411 10TH St SE Ste 150
Cedar Rapids, IA 52403-2449

Phone

(319) 363-3600

Fax

(319) 393-0184

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1053645291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 10TH ST SE STE 150",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032449",
            "telephone_number": "319-363-3600",
            "fax_number": "319-393-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 10TH ST SE STE 150",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032449",
            "telephone_number": "319-363-3600",
            "fax_number": "319-393-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCOFF",
        "first_name": "CARMEN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-096428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Rhodus Wunderlich Jr.
• Wyant Family Chiropractic, PLLC
• Benjamin Clinton Wyant, D.C.
• Brooke Elizabeth Wyant, DC
• Meghan Elizabeth Wyatt, OTR/L
• Marcy Dalene Wymer, MA, CCC-SLP
• Charles Xander, LMHC
• Alice Xu
• Fadi Yacoub, MD
• Michelle M. Yanecek

• Pediatric Nurse Practitioner in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.