KYLE RICHARD HISCOCK (NPI# 1053946228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053946228 |
| Entity Type | Individual |
| Full Name | KYLE RICHARD HISCOCK |
| Practice Address |
590 Rio Lindo Ave Chico CA 95926-1817 |
| Practice Telephone | 5303453491 |
| Mailing Telephone | 5303453491 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
590 RIO LINDO AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557908 | Lois A Jensen | Obstetrics & Gynecology | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2005-06-13 |
| 1265044937 | Danielle Leighann Blum | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-08-23 |
| 1619585296 | Autumn Michelle Brock | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-07-20 |
| 1164041992 | Michael Lloyd Hipp | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-04-12 |
| 1144849977 | Jeffry Matthew Holland | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-04-12 |
| 1376162180 | Jeremy M Utter | Licensed Practical Nurse | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-04-11 |
| 1629605571 | Faith Ann Cross | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-03-23 |
| 1518591445 | Shane Thomas Buttler | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-02-29 |
| 1245861137 | Carmen Frances Baca | Licensed Vocational Nurse | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-01-29 |
| 1831738525 | Kelli Remington | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912642 | Alberta Caldwell | Counselor | 560 Cohasset Rd Ste 140, Chico, CA 95926-2281 | 2017-10-06 |
| 1902201338 | Ajuana Clements | Counselor | 556 Cohasset Rd, Chico, CA 95926-2212 | 2014-10-28 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| 1710303722 | Timothy D Stephens | Counselor | 592 Manzanita Ave, Chico, CA 95926-1323 | 2014-03-14 |
| 1285981753 | Cathi Marie Schmitz | Counselor | 3105 Esplanade, Chico, CA 95973-0202 | 2012-08-14 |
| 1902153471 | Debora Elaine Mcrae | Counselor | 40 Landing Cir, Chico, CA 95973-7901 | 2012-08-14 |
| 1205183761 | David Brian Burke | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-08-14 |
| 1366751851 | Marla Marie Hooper | Counselor | 2445 Almandor Cir Apt 2, Chico, CA 95926-1061 | 2010-09-30 |
| 1174765689 | Corinne Mehri Jenab | Counselor | 590 Rio Lindo Ave., Chico, CA 95926 | 2009-03-30 |
| 1326288523 | Mike Paul Visconti | Counselor | 4133 Highway 32, Chico, CA 95973 | 2009-02-27 |
| Find all providers in CHICO | ||||
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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.