KAYLA CONNER HICKEY (NPI# 1053979138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053979138 |
| Entity Type | Individual |
| Full Name | KAYLA CONNER HICKEY |
| Practice Address |
1000 E Primrose St Ste 520 Springfield MO 65807-5180 |
| Mailing Address |
3900 S Lone Pine Ave Apt C203 Springfield MO 65804-6832 |
| Practice Telephone | 4172694550 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 28511755 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Street Address |
1000 E PRIMROSE ST STE 520 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164431805 | William Wynn IIi | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2006-08-05 |
| 1891353892 | Jason Bradley Laughlin | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-7002 | 2019-06-04 |
| 1609252642 | Henry Joe Morris | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2015-07-31 |
| 1710366539 | Colin Gregory Warnock | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2015-05-26 |
| 1821260258 | Angela D Silvey | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2008-03-26 |
| 1285772491 | Mark S. Mikesch | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2007-02-01 |
| 1114065349 | Luke R Beuterbaugh | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2007-02-01 |
| 1831109586 | Ozark Anesthesia Associates, Inc. | Anesthesiology | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418793 | Brent R Fairbanks | Anesthesiologist Assistant | 1235 E Cherokee, Springfield, MO 65804-2203 | 2012-09-04 |
| 1801408190 | Anthony R Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2020-08-19 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| 1710501770 | Brittany Fox | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-06-04 |
| 1316592967 | Joshua Rogers | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-08-09 |
| 1750941431 | Madison Blair Howard | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-16 |
| 1356901060 | Sean Michael Apple | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-14 |
| 1891353892 | Jason Bradley Laughlin | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-7002 | 2019-06-04 |
| 1710462635 | Catherine Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2018-09-26 |
| 1912481110 | Hillary Lemelle | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2018-09-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.