Active NPI
Wanda Faye Krick, R.N.
- Registered Nurse
- Tullahoma, TN
National Provider Identifier
1861408759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0000044411
- Practice address
- 1750 Cedar LN Ste 100
Tullahoma, TN 37388-4760 - Phone
- (931) 455-7779
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000044411 | TN | Primary |
Addresses
Primary practice location
1750 Cedar LN Ste 100
Tullahoma, TN 37388-4760
Mailing address
PO Box 1866
1750 Cedar Lane, Suite 100
Tullahoma, TN 37388-1866
Phone (931) 455-7779
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000044411 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861408759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1866",
"address_2": "1750 CEDAR LANE, SUITE 100",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373881866",
"telephone_number": "931-455-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 CEDAR LN STE 100",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884760",
"telephone_number": "931-455-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRICK",
"first_name": "WANDA",
"middle_name": "FAYE",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000044411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.