SHAUNA HICKEM


Address: 201 N Garth Ave, Columbia, MO 65203-4105
Phone: 5734493953

SHAUNA HICKEM (NPI# 1114359247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
2013019513 MO Nursing Service Providers

Office Location

Street Address 201 N GARTH AVE
City COLUMBIA
State MO
Zip Code 65203-4105

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1568061034 Shenetra Harbour Registered Nurse 1421 Bluff Rd, Columbia, SC 29201-4809 2020-10-25

Providers in the same taxonomy and state

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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Competitor

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City COLUMBIA
Zip Code 65203

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Dataset Information

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.

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