SHAUNA HICKEM (NPI# 1114359247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114359247 |
Entity Type | Individual |
Full Name | SHAUNA HICKEM |
Credential | RN |
Practice Address |
201 N Garth Ave Columbia MO 65203-4105 |
Practice Telephone | 5734493953 |
Enumeration Date | 2013-07-31 |
Last Update Date | 2013-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
2013019513 | MO | Nursing Service Providers |
Street Address |
201 N GARTH AVE |
City | COLUMBIA |
State | MO |
Zip Code | 65203-4105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952446700 | Family Counseling Center of Missouri, Inc | Substance Abuse Rehabilitation Facility | 201 N Garth Ave, Columbia, MO 65203-4105 | 2007-02-20 |
1871102657 | Katherine Donna Bell | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2020-07-28 |
1154981009 | Hannah Elizabeth Prince | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2019-06-13 |
1073082954 | Deanna Marie Sporleder | Counselor | 201 N Garth Ave, Columbia, MO 65203-4105 | 2018-11-20 |
1174002216 | Kathryn Elizabeth Hancock | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2018-08-09 |
1144748930 | Amanda Herbst | Counselor | 201 N Garth Ave, Columbia, MO 65203 | 2017-09-01 |
1952733107 | Elizabeth Simmons Bradley | Social Worker | 201 N Garth Ave, Columbia, MO 65203 | 2013-07-30 |
1518303213 | Stephanie Hanneken | Clinic/Center | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-05-21 |
1578813895 | Lori Marie Dreyer | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2012-09-13 |
1861756819 | Amanda G Pruit | Counselor | 201 N Garth Ave, Columbia, MO 65203-4105 | 2012-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
Find all providers in zip 65203 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061034 | Shenetra Harbour | Registered Nurse | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2020-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760013569 | Kayana Ward | Registered Nurse | 5547 Park Ave, Kansas City, MO 64130-3423 | 2020-01-30 |
1225488588 | Lori Tucker | Registered Nurse | 6700 N Charleston Dr, Kansas City, MO 64119-5401 | 2016-06-17 |
1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
1306161724 | Debra Lee Thompson | Registered Nurse | 493 Nw 1025th Rd, Warrensburg, MO 64093-7636 | 2010-03-29 |
1760501100 | Cheryl Rhodes | Registered Nurse | 2750 Cherry St, Kansas City, MO 64108-3140 | 2007-03-28 |
1710006101 | Vicky Lynne Fairey | Registered Nurse | Highway J North Box 441, Hayti, MO 63851 | 2007-03-28 |
1427659580 | Goldenchildrn | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-11-05 |
1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
1114406956 | Edna Mae Anderson | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2018-08-13 |
1023506490 | Laurie Ann Wells | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2018-05-01 |
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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.