MRS. LORETTA CHARLENE HICKS (NPI# 1255366431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255366431 |
| Entity Type | Individual |
| Full Name | MRS. LORETTA CHARLENE HICKS |
| Credential | RN/MSN/PNP/FNP |
| Practice Address |
7471 N Fresno St Fresno CA 93720-2457 |
| Practice Telephone | 5594364500 |
| Practice Fax Number | 5592611526 |
| Mailing Telephone | 5594364500 |
| Mailing Fax Number | 5592611526 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
308931 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821155854 | Loretta Hicks | Family Medicine | 1000 Halsey Ave Se Bldg 550, Nas Atlanta, Naval Branch Health Clinic-atlanta, Marietta, GA 30060-4277 | 2007-01-02 |
| Street Address |
7471 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923307 | Malik Nasir Baz | Allergy & Immunology | 7471 N Fresno St, Fresno, CA 93720-2457 | 2005-06-22 |
| 1053953927 | Shanetha Keelah Stapleton | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2019-10-12 |
| 1851894745 | Premium Urgent Care, Inc. | Clinic/Center | 7471 N Fresno St, Fresno, CA 93720-2457 | 2018-03-16 |
| 1972979201 | Brittany Leann Kalajian | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720 | 2015-08-21 |
| 1124403159 | Karalyn Rebecca Champion | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-07-20 |
| 1619358272 | Ryan Majd Gorji | Family Medicine | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-06-09 |
| 1972998649 | Sylvia Angelica Ann Aparicio | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-03-31 |
| 1518358142 | Archana Chandra | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-02-18 |
| 1841692449 | Sofian Amir Hassen | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2014-09-25 |
| 1669874046 | Oliver Kampitan Olaivar | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1871079509 | Erika Varney | Nurse Practitioner | 6769 N Willow Ave Ste 101, Fresno, CA 93710-5900 | 2018-07-16 |
| 1962861179 | Mary Jo Graves | Nurse Practitioner | 7011 N Howard St Ste 202, Fresno, CA 93720-2955 | 2016-02-16 |
| 1114324738 | Cheryl Martinez | Nurse Practitioner | 1301 M St, Fresno, CA 93721-1807 | 2014-11-25 |
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1962574814 | Gloria Ann Liu | Nurse Practitioner | 4785 N. First Street, Kaiser Permanente, Fresno, CA 93726 | 2006-11-15 |
| 1043793466 | Jennifer Nelson | Nurse Practitioner | 7720 N Fresno St, Fresno, CA 93720-2407 | 2018-09-11 |
| 1336626209 | Jennifer Lee Ruch | Nurse Practitioner | 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 | 2018-07-24 |
| 1851819742 | Minal Patel | Nurse Practitioner | 2210 E Illinois Ave Ste 206, Fresno, CA 93701-2184 | 2017-08-31 |
| 1437694155 | Arsia Moua | Nurse Practitioner | 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | 2017-01-04 |
| Find all providers in FRESNO | ||||
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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.