MARY THERESA HICKMAN (NPI# 1255700621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255700621 |
| Entity Type | Individual |
| Full Name | MARY THERESA HICKMAN |
| Practice Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8656379711 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1922659671 | Mary Hickman | Genetic Counselor, MS | 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 | 2019-09-24 |
| 1164075586 | Mary Hickman | Behavior Technician | 111 Currituck Commerical Dr Ste A1, Moyock, NC 27958-9086 | 2019-07-24 |
| Street Address |
201 W SPRINGDALE AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865197 | Patricia Lynn Poteet | Nurse Practitioner | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2005-07-18 |
| 1225638539 | Lora Michael Hall | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-27 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
| 1598362790 | Cheryl G Beams | Specialist/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-01 |
| 1982218632 | Jessica Nicole Isham | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1285248930 | Brandon Michael Ward | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1558974147 | Joseph Robert Boughter | Student in an Organized Health Care Education/Training Program | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-08-25 |
| 1396363271 | Marquita Yvett Dortch | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-07-08 |
| 1942827670 | Dena Hassan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-29 |
| 1639795974 | Amber Nolan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| 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 |
|---|---|---|---|---|
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1952892150 | Howard Dean Jennings | Case Manager/Care Coordinator | 1010 Cox St, Knoxville, TN 37919-2221 | 2018-05-23 |
| 1700375326 | Jimmy Wayne Parks | Case Manager/Care Coordinator | 424 Clark St, Knoxville, TN 37921-6426 | 2018-05-09 |
| 1336644608 | Thomas Everett Cordell | Case Manager/Care Coordinator | 2455 Sutherland Ave Unit C, Knoxville, TN 37919-2355 | 2018-03-28 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1902352768 | Destiney Carter | Case Manager/Care Coordinator | 2130 Adair Dr Apt 3, Knoxville, TN 37918-1649 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
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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.