CHRISTINE HICKEY (NPI# 1063968113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063968113 |
| Entity Type | Individual |
| Full Name | CHRISTINE HICKEY |
| Credential | PA-C |
| Practice Address |
11432 Business Blvd Ste 4 Eagle River AK 99577-7740 |
| Practice Telephone | 9076941300 |
| Practice Fax Number | 9076941315 |
| Mailing Telephone | 9076941300 |
| Mailing Fax Number | 9076941315 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
114040 | AK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700186525 | Christine Marie Hickey | Speech-Language Pathologist | 505 Glen Cove Ave, Glen Head, NY 11545-1447 | 2010-10-26 |
| 1659838464 | Christine A Hickey | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2019-02-28 |
| 1285012120 | Christine Hickey | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2015-05-12 |
| Street Address |
11432 BUSINESS BLVD STE 4 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053505206 | Henrietta Emokidi | Nurse Practitioner | 11432 Business Blvd Ste 4, Eagle River, AK 99577 | 2007-08-30 |
| 1669745865 | Tasha Corinth | Physician Assistant | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2012-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497118574 | Anchorage Housecall Medicine LLC | Clinic/Center | 1444 S Creek Rd, Eagle River, AK 99577-9461 | 2016-04-05 |
| 1053791665 | John D. Zipperer Jr Md, LLC | Clinic/Center | 12641 Old Glenn Hwy, Suite 101, Eagle River, AK 99577-7039 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361228 | Akins Mobile Health & Clinical Consultants, LLC | Clinic/Center | 2942 Gladys Marie Cir, Anchorage, AK 99516-1407 | 2020-03-22 |
| 1477029767 | Pacific Pediatrics, LLC | Clinic/Center | 3137 Tongass Ave # C, Ketchikan, AK 99901-5745 | 2018-10-15 |
| 1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1619333788 | Earthsong Integrative Medicine and Midwifery, LLC | Clinic/Center | 223 Gold St Uppr Unit, Juneau, AK 99801-1210 | 2016-01-05 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
| 1467874933 | Now Health, LLC | Clinic/Center | 625 Cobb Street, Suite 201, Palmer, AK 99645 | 2014-01-17 |
| 1972894418 | Kim Thiele, Do, PC | Clinic/Center | 105 Trading Bay Dr, Suite 105, Kenai, AK 99611-7717 | 2011-05-02 |
| 1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on CHRISTINE HICKEY.
| 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.