TAMMY HICKMAN (NPI# 1306385505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306385505 |
| Entity Type | Individual |
| Full Name | TAMMY HICKMAN |
| Practice Address |
906 Main Ave Tillamook OR 97141-3816 |
| Practice Telephone | 5038428201 |
| Practice Fax Number | 5038151870 |
| Mailing Telephone | 5038428201 |
| Mailing Fax Number | 5038151870 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | THW000000661 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500722315 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093068272 | Tammy Kay Hickman | Counselor | 301 E. 13th, Merced, CA 95341-6217 | 2012-10-24 |
| 1861820375 | Tammy Jean Hickman | Social Worker | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2013-10-18 |
| 1043586266 | Tammy Hickman | Community Health Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2012-04-02 |
| Street Address |
906 MAIN AVE |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144297615 | Debra M Torres | Registered Nurse | 906 Main Ave, Tillamook, OR 97141-3816 | 2006-03-03 |
| 1164077020 | Cassandra Persons | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-08-07 |
| 1659930980 | Shannon Pullen | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-06-11 |
| 1902465230 | Erin L Warbington | Registered Nurse | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-06-11 |
| 1487127288 | Krystine Valle | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-01-04 |
| 1467937383 | Jamie Helene Villemonte | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2018-09-26 |
| 1851884092 | Patricia Rose Stein Decker | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2018-06-12 |
| 1033621370 | Kathy J Sias | Counselor | 906 Main Ave, Tillamook, OR 97141-3816 | 2017-10-26 |
| 1114443959 | Melonie Ferguson | Case Manager/Care Coordinator | 906 Main Ave, Tillamook, OR 97141-3816 | 2017-08-14 |
| 1336688969 | Debra Fox | Counselor | 906 Main Ave, Tillamook, OR 97141-3618 | 2017-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077020 | Cassandra Persons | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-08-07 |
| 1659930980 | Shannon Pullen | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2019-06-11 |
| 1811442981 | Douglas Mark Beeler | Peer Specialist | 906 Main Ave, Tillamook, OR 97141-3816 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
| 1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
| 1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
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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.