Jolene M Wixom, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00019944 Issued in WA

Practice address

1103 E Garland Ave
Spokane, WA 99207-3035

Phone

(509) 280-6615

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1740489061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992073035",
            "telephone_number": "509-280-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992073035",
            "telephone_number": "509-280-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXOM",
        "first_name": "JOLENE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00019944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay L Wittenkeller, MD
• Richard G. Witter, D.D.S.
• Lily J Wittich, MD
• Karen Seth Wittry
• Rachel Angela Wix, PH.D.
• Laurissa Deanne Woerdeman
• Valorie Victoria Wogsland, CRNA
• Karen A Wohlen, MD
• Steven Michael Wohrle, CRNA
• Melissa Marie Wolbert, AA, RN

• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.