Active NPI
Trisha Lynn Wicks, LMT
- Reflexologist
- Waukee, IA
National Provider Identifier
1235483884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- 03008
- Practice address
- 460 6TH Street
Waukee, IA 50263-0024 - Phone
- (515) 978-6017
- NPI assigned
- Nov 5, 2012
- Last updated
- Nov 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 03008 | IA | Primary |
Addresses
Primary practice location
460 6TH Street
Waukee, IA 50263-0024
Mailing address
P.O. Box 24
460 6TH Street,
Waukee, IA 50263-0024
Phone (515) 978-6017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03008 | IA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1235483884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 24",
"address_2": "460 6TH STREET,",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502630024",
"telephone_number": "515-978-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 6TH STREET",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502630024",
"telephone_number": "515-978-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "TRISHA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "IA",
"license": "03008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.