Active NPI
Linda Gail Wicklund
- Case Manager/Care Coordinator
- Casper, WY
National Provider Identifier
1982968434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 171M00000X
- Practice address
- 918 E 2ND St
Casper, WY 82601-2625 - Phone
- (307) 235-2814
- Fax
- (307) 472-1169
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 171M00000X | WY | Primary |
Addresses
Primary practice location
918 E 2ND St
Casper, WY 82601-2625
Mailing address
918 E 2ND St
Casper, WY 82601-2625
Phone (307) 235-2814
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 |
|---|---|---|---|
| 171M00000X | WY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1982968434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012625",
"telephone_number": "307-235-2814",
"fax_number": "307-472-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012625",
"telephone_number": "307-235-2814",
"fax_number": "307-472-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKLUND",
"first_name": "LINDA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WY",
"license": "171M00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.