RAKISHA WILKS NP NPI 1841843539

NPI Information

NPI: 1841843539
Provider Name: RAKISHA WILKS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 365-2855
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Rakisha Wilks, NP is a psychiatric/mental health nurse practitioner in Champaign, IL with 6 years of experience. Rakisha Wilks, NP NPI is 1841843539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821-923
Phone: (217) 365-2855
Fax: (217) 365-2856

The NPI 1841843539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 8/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209019430	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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