India Nicole Wiseman

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

41818 Issued in TX

Practice address

17314 Tomball Pkwy Ste 230
Houston, TX 77064-1140

Phone

(832) 895-3400

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By 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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daisy Childrens Homehealth LLC

  dba dba Daisy Kids Care

  • Home Health Agency
  • Houston, TX
  • NPI 1790085934
  NPD (past)
• Daisy Kids Therapy, LLC

  • Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1831628536
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1881263671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 SCHROEDER RD APT 1305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703651",
            "telephone_number": "346-405-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17314 TOMBALL PKWY STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641140",
            "telephone_number": "832-895-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "INDIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Mancera Wise, PA-C
• Tanya Saucier Wise, OT
• Tesa Marie Wise
• Vance Eric Wise, M.D.
• Gwendolyn Martens Wiseman, M.S., CCC-SLP
• Juliet Wiseman
• Katherine Wiser, LSA, CST/CSFA
• Wishing Well Centers for Rehabilitation, LLC
• Wishnow Vision Associates
• Irving Charles Wishnow, O.D.

• Speech-Language Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.