Beverly Wicks, ARNO

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP421302 Issued in FL

Practice address

111 Granada CT
Orlando, FL 32803-3802

Phone

(407) 420-1771

NPI assigned

Oct 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patrick G Fairchild MD PA

  • Infectious Disease Physician
  • Clermont, FL
  • NPI 1457410383
  NPD (past)
• The Wellness Center

  • Specialist
  • Orlando, FL
  • NPI 1942291471
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1154310324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 PEBBLE CREEK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357161",
            "telephone_number": "321-279-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GRANADA CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033802",
            "telephone_number": "407-420-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "BEVERLY",
        "credential": "ARNO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP421302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E3026B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benetta H Wholuba, PHD
• Renee Whyte
• Erin Noelle Wibert, MA
• Samuel Wichael, LAT, ATC, CES
• Steven Andrew Wick, DNP, APRN
• Christina L Wicks, APRN
• Stephanie Renae Wicks, RN
• Rachel H Widdison, RBT
• Tiffany Kathleen Wieckowski, APRN
• Cathleen H Wiedel

• Adult Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.