MICHELLE RAE HICKS (NPI# 1154969129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154969129 |
| Entity Type | Individual |
| Full Name | MICHELLE RAE HICKS |
| Credential | ICADC, CADC |
| Practice Address |
1151 S 4th St Ste 208 Louisville KY 40203-3101 |
| Mailing Address |
3612 Locklee Rd Louisville KY 40214-3831 |
| Practice Telephone | 5026126981 |
| Mailing Telephone | 5026126981 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730572520 | Michelle Hicks | Occupational Therapist | 515 Sugar Maple Dr, Windber, PA 15963-2246 | 2015-03-18 |
| 1689813628 | Michelle Hicks | Emergency Medicine | 5665 New Northside Dr, Suite #320, Atlanta, GA 30328-5834 | 2009-02-16 |
| 1922252626 | Michelle J Hicks | Massage Therapist | 1818 Proper St, Corinth, MS 38834-5134 | 2008-11-06 |
| 1326531104 | Michelle Hicks | Physical Therapist | 4230 Crums Mill Rd Ste 201, Harrisburg, PA 17112 | 2018-06-07 |
| 1003232273 | Michelle Coleen Hicks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107 | 2014-03-12 |
| 1912147943 | Michelle L Hicks | Nurse Practitioner | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2009-03-04 |
| 1780821736 | Michelle Hicks | Licensed Practical Nurse | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2009-01-13 |
| 1275684490 | Michelle Hicks | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-15 |
| 1508973991 | Michelle L Hicks | Nurse Practitioner | 600 N Robbins Rd, Suite 100, Boise, ID 83702-4566 | 2006-08-23 |
| Street Address |
1151 S 4TH ST STE 208 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093647 | Louisville Integrated Care | Counselor | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1992340699 | Sharmika Berry | Case Manager/Care Coordinator | 3728 Chamberlain Ct, Louisville, KY 40241-1753 | 2019-11-17 |
| 1790320570 | Yinethia Brown | Case Manager/Care Coordinator | 8425 Biggin Hill Ln, Louisville, KY 40220-4107 | 2019-11-15 |
| 1508412859 | Erika Lynum | Case Manager/Care Coordinator | 3709 Modesto Rd, Louisville, KY 40299-1443 | 2019-08-13 |
| 1487215703 | Flore Cogswell | Case Manager/Care Coordinator | 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 | 2019-06-26 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1629535430 | Cynthia Sue Howard | Case Manager/Care Coordinator | 103 Wickfield Dr, Louisville, KY 40245-4054 | 2019-02-28 |
| 1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
| 1033609367 | Derrick Arnold | Case Manager/Care Coordinator | 4835 Poplar Level Rd Ste 119, Louisville, KY 40213-2905 | 2018-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
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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.