Mary E Wilcox, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R19788 Issued in NM

Practice address

201 Cedar SE, Suite 4640
Albuquerque, NM 87106

Phone

(505) 536-6530

Fax

(505) 563-3625

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1205157914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR SE, SUITE 4640",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-536-6530",
            "fax_number": "505-563-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "R19788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Christopher Wilberger, M.D.
• Elexa Wilburn
• Claire E Wilcox, MD
• Glenn Lockhart Wilcox, DOM
• Jean-Claude E. Wilcox, D.D.S.
• Nanette Wilcox, LISW
• Robert F. Wilcox, LPCC
• Erin Wild
• Krista Wild, PH.D.
• Cathleen S Wilde, MA, LPCC

• Diabetes Educator Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diabetes Educator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.