1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Licensed Practical Nurse
  6. NPI Profile

ELAINE WICKHAM
NPI 1699010637
Licensed Practical Nurse in Lakeland, FL

Active since December 03, 2012
1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elaine Wickham NPPES

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

ELAINE WICKHAM (NPI 1699010637) is an individual licensed practical nurse in Lakeland, Florida, licensed in Florida (PN5199622) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1699010637
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameELAINE WICKHAM
Location Address1835 GILMORE AVELakeland, FL 33805-3017
Mailing AddressPo Box 1559Bartow, FL 33831-1559
Phone(863) 519-0575
Sole ProprietorNo
Enumeration DateDecember 3, 2012
✔ NPI 1699010637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5199622
Definition
A licensed practical nurse 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.
1835 GILMORE AVE, Lakeland, FL 33805
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

OLIVIA ANDERSON LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
CHARLES A BARRIOS MD
Psychiatry & Neurology (Psychiatry)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MYRIAM BUITRAGO LMHC
Counselor (Mental Health)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MRS. TONYA FLORES LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MARY E BRADY LPN
Licensed Practical Nurse
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
EDITH CREMERIUS MSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
JESSICA DOBBERTIN BORRUSO LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
ADELMA ANSLEY KILGORE LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575

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 Elaine Wickham's NPI number?

The NPI number for Elaine Wickham is 1699010637. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Where is Elaine Wickham located?

Elaine Wickham practices at 1835 Gilmore Ave, Lakeland, FL 33805. The listed phone number is (863) 519-0575.

What is Elaine Wickham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Elaine Wickham was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.