Evelyn Terry Wicks, DUI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

W0408271744

Practice address

11960 Heritage Oak PL
Ste 15
Auburn, CA 95603-2401

Phone

(530) 885-1961

Fax

(530) 885-0713

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1427211465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 HERITAGE OAK PL",
            "address_2": "STE 15",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032401",
            "telephone_number": "530-885-1961",
            "fax_number": "530-885-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 HERITAGE OAK PL",
            "address_2": "STE 15",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032401",
            "telephone_number": "530-885-1961",
            "fax_number": "530-885-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "EVELYN",
        "middle_name": "TERRY",
        "credential": "DUI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "W0408271744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce J Whitesides, PHARMD
• Marques P Whitfield, RADT
• Diane Whiting, LVN
• Mikayla Marie Whiting
• Tawny Dawn Whitney
• William R. Nesbitt III MD, a Professional Medical Corporation
• William W. Kirby, M.D.
• Benjamin A. Williams II, M.D.
• Blake Reed Williams
• Geneal Williams

• Addiction (Substance Use Disorder) Counselor in Auburn, CA
• Providers in Auburn, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

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