KIMBERLY LYNN HICKS (NPI# 1134536956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134536956 |
Entity Type | Individual |
Full Name | KIMBERLY LYNN HICKS |
Other Name | KIMBERLY LYNN GLORE |
Credential | CNP |
Practice Address |
1075 Beecher Xing N Suite A Columbus OH 43230-4572 |
Practice Telephone | 6144756179 |
Practice Fax Number | 6144756902 |
Mailing Telephone | 6144756179 |
Mailing Fax Number | 6144756902 |
Enumeration Date | 2014-07-14 |
Last Update Date | 2018-04-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRNCNP16141 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0189940 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366061053 | Kimberly Hicks | Licensed Vocational Nurse | 2015 Majestic Pace St # A, Longview, TX 75604-2526 | 2020-04-13 |
1487033312 | Kimberly Hicks | Licensed Practical Nurse | 15338 Enchante Dr, Clinton Township, MI 48038-3167 | 2015-05-26 |
1093069189 | Kimberly Mclean Hicks | Pharmacist | 376 S North Lake Blvd, Suite 1008, Altamonte Springs, FL 32701-5261 | 2012-10-29 |
1255476909 | Kimberly Michelle Hicks | Counselor | 1051 N 16th St Ste B, Murray, KY 42071-8511 | 2007-02-20 |
1972661254 | Kimberly Hicks | Internal Medicine | 3317 Elm St, Suite 102, Oakland, CA 94609-3052 | 2006-12-05 |
1104479526 | Kimberly Hicks | Speech-Language Pathologist | 6924 W Linebaugh Ave, Tampa, FL 33625-5800 | 2019-07-24 |
1376018531 | Kimberly Hicks | Technician | 1745 N Nellis Blvd Ste C, Las Vegas, NV 89115-3673 | 2018-10-03 |
1568946895 | Kimberly Hicks | Nurse Practitioner | 315 E Nasa Blvd, Melbourne, FL 32901-1939 | 2018-09-22 |
1740726892 | Kimberly Hicks | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2017-01-13 |
1780089854 | Kimberly Hicks | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2014-10-30 |
Street Address |
1075 BEECHER XING N SUITE A |
City | COLUMBUS |
State | OH |
Zip Code | 43230-4572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
Find all providers in zip 43230 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
Find all providers in COLUMBUS |
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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.