SHANDA CAMILLE WICKFALL
NPI 1386519643
Nurse's Aide in Memphis, TN

Active since October 07, 2025
4061 LACONIA LN, MEMPHIS, TN 38118(901) 530-8160 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanda Camille Wickfall NPPES

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

SHANDA CAMILLE WICKFALL (NPI 1386519643) is an individual nurse's aide in Memphis, Tennessee and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1386519643
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameSHANDA CAMILLE WICKFALL
Location Address4061 LACONIA LNMemphis, TN 38118-4909
Mailing Address4061 Laconia LnMemphis, TN 38118-4909 · (901) 530-8160
Sole ProprietorNo
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1386519643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
4061 LACONIA LN, Memphis, TN 38118

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Community Health)
4061 LACONIA LN
MEMPHIS, TN 38118

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 Shanda Wickfall's NPI number?

The NPI number for Shanda Wickfall is 1386519643. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Shanda Wickfall located?

Shanda Wickfall practices at 4061 Laconia Ln, Memphis, TN 38118. The listed phone number is (901) 530-8160.

What is Shanda Wickfall's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Shanda Wickfall was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.