Anna Katherine Wicklund

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8400 Issued in WI

Practice address

2606 Stewart Ave Ste 100
Wausau, WI 54401-5449

Phone

(715) 847-0000

Fax

(715) 847-2775

NPI assigned

May 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1174013619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NORTH EMERALD DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013969",
            "telephone_number": "715-573-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 STEWART AVE STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015449",
            "telephone_number": "715-847-0000",
            "fax_number": "715-847-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8400-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin J Whitaker, MD
• Terence J Whitaker, DMD
• White Rose Plus, LLC
• Shane Wesley White
• Sha-Keya L Whitelow
• Jamie Wierzba
• Julie Ann Wilcox, CRNA
• Beth D. Wilder-Stieber, L.P.C.
• William A Wilfley Jr., M.D.
• Andrew Wilke, PT

• Nurse Practitioner in Wausau, WI
• Providers in Wausau, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.