NICHOLE HICKMAN (NPI# 1003802067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003802067 |
| Entity Type | Individual |
| Full Name | NICHOLE HICKMAN |
| Credential | NP |
| Practice Address |
350 S Landmark Ave Bloomington IN 47403-5001 |
| Practice Telephone | 8123352434 |
| Practice Fax Number | 8123357604 |
| Mailing Telephone | 8123352434 |
| Mailing Fax Number | 8123357604 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2013-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71001444A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144586868 | Nichole Sherrie Hickman | Counselor | 300 E Business Way Ste 200, Cincinnati, OH 45241 | 2012-04-06 |
| Street Address |
350 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055458 | David C Esarey | Pediatrics | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2005-07-05 |
| 1629532304 | Monica Fleetwood Black | Social Worker | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2019-01-26 |
| 1629523360 | Amanda Regester | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2016-08-23 |
| 1720440076 | Bryce Cameron Mckee | Pediatrics | 350 S Landmark Ave, Bloomington, IN 47403 | 2016-03-25 |
| 1447647565 | Jeremy Mescher | Pediatrics | 350 S Landmark Ave, Bloomington, IN 47403 | 2015-04-16 |
| 1265876601 | Crista Lynn Virtue | Pediatrics | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2013-04-27 |
| 1083968978 | Tamra R Robertson | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2012-10-31 |
| 1841575735 | Mary Balle | Registered Nurse | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2011-10-11 |
| 1316276843 | Brooke Colleen Barada | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2009-12-11 |
| 1174756282 | Jeremy R Voyles | Counselor | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629523360 | Amanda Regester | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2016-08-23 |
| 1083968978 | Tamra R Robertson | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2012-10-31 |
| 1316276843 | Brooke Colleen Barada | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2009-12-11 |
| 1972736577 | Newbridge Clinic P.a. | Nurse Practitioner | 8200 Humboldt Ave S, Bloomington, MN 55431-1433 | 2009-08-29 |
| 1972792497 | Patricia L Carr | Nurse Practitioner | 1505 Eastland Dr, Ste. 250, Bloomington, IL 61701-3534 | 2007-10-21 |
| 1528138674 | Esther J Briggs | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2006-11-08 |
| 1821084880 | Susan J Voland | Nurse Practitioner | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2005-09-26 |
| 1467448423 | Kathryn Wright | Nurse Practitioner | 651 S Clarizz Blvd, Bloomington, IN 47401-5523 | 2005-09-26 |
| 1649266628 | Jane Lucas | Nurse Practitioner | 651 S Clarizz Blvd, Bloomington, IN 47401-5523 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
| 1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
| 1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.