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RYAN WICKERHAM
NPI 1063012656
Technician - Personal Care Attendant in Belcourt, ND

Active since October 31, 2020
9862 46TH AVE NE 1191 KENT ADDITION, 1191, BELCOURT, ND 58316(701) 278-1111(701) 477-8507 Get Directions Write a Review

NPPES record last updated: October 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Wickerham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN WICKERHAM (NPI 1063012656) is an individual personal care attendant in Belcourt, North Dakota and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063012656
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameRYAN WICKERHAM
Location Address9862 46TH AVE NE 1191 KENT ADDITION, 1191Belcourt, ND 58316
Mailing AddressPo Box 2263Belcourt, ND 58316-2263 · (701) 278-1111 · Fax (701) 477-8507
Phone(701) 278-1111
Fax(701) 477-8507
Sole ProprietorYes
Enumeration DateOctober 31, 2020
NPPES CertifiedOctober 31, 2020
✔ NPI 1063012656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
9862 46TH AVE NE 1191 KENT ADDITION, Belcourt, ND 58316
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Wickerham's NPI number?

The NPI number for Ryan Wickerham is 1063012656. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Where is Ryan Wickerham located?

Ryan Wickerham practices at 9862 46th Ave NE 1191 Kent Addition 1191, Belcourt, ND 58316. The listed phone number is (701) 278-1111.

What is Ryan Wickerham's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Ryan Wickerham was last updated on October 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.