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Deactivated NPI 1720479686 Deactivated / Inactive NPI Female Practitioner

Sharon Wickham , LPN

Licensed Practical Nurse • Cape Girardeau, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sharon Wickham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2015
NPI Deactivation Date July 19, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Sharon Wickham, LPN was a registered Licensed Practical Nurse practicing in Cape Girardeau, MO. Throughout an active medical career spanning 8 years, Sharon Wickham provided care at the practice location at 20 S SPRIGG ST until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

20 S Sprigg St
Family Counseling Center

Cape Girardeau, MO 637036212

Telephone 5736514177
Fax 5736513636
Associated Practice Facility / Clinic
🏢 Family Counseling Center Facility NPI 1174822167

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Cape Girardeau, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Cape Girardeau, MO (806 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MO 040909

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joe Neal , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1003075458

Bachelor of Science

Korey Crum , LPC

Counselor - Professional

NPI 1003396540

Licensed Professional Counselor

Michala Griffin

Behavior Technician

NPI 1023604675
Lauren Cornelious

Behavior Technician

NPI 1023955234
Sheila Brown , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1043535461

Registered Nurse

Tracy Spencer

Counselor - Addiction (Substance Use Disorder)

NPI 1053147124

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active February 13, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 13, 2015

Registered at 20 S SPRIGG ST, FAMILY COUNSELING CENTER, CAPE GIRARDEAU, MO 637036212 (Tel: 5736514177)

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Updated Business Mailing Address February 13, 2015

Registered at 20 S SPRIGG ST, FAMILY COUNSELING CENTER, CAPE GIRARDEAU, MO 637036212 (Tel: 5736514177)

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Provider Name / Credentials Updated February 13, 2015

Recorded as SHARON WICKHAM, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2015

Licensed Practical Nurse (License #040909 in MO)

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Initial NPI Registration & Enumeration February 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720479686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2015
Last Update: February 13, 2015
Deactivation Date: July 19, 2023

Mailing Address

20 S Sprigg St, Family Counseling Center

Cape Girardeau, MO 637036212

Phone: 5736514177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.