WILSON HICKMAN (NPI# 1316493687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316493687 |
Entity Type | Individual |
Full Name | WILSON HICKMAN |
Credential | CRNP |
Practice Address |
95 Leonard Avenue Building 2, 4th Floor Washington PA 15301 |
Mailing Address |
997 N. Main Street Washington PA 15301 |
Practice Telephone | 7242233673 |
Mailing Telephone | 7242222577 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP016282 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
95 LEONARD AVENUE BUILDING 2, 4TH FLOOR |
City | WASHINGTON |
State | PA |
Zip Code | 15301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639335367 | Bruce Hillman Scott | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301-3368 | 2008-08-01 |
1194386763 | Shalima Mehta | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2019-06-25 |
1427618909 | Andrea Schaeffer | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2019-06-18 |
1891354080 | Alexander Olsen | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2019-06-11 |
1194384800 | Maria Ruth Bening | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2019-06-07 |
1043704737 | Salena Linberg | Family Medicine | 95 Leonard Avenue, Washington, PA 15301 | 2018-06-18 |
1386136281 | Mark Robert Lohkamp Jr. | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2018-06-06 |
1366978611 | Dominic Vanchieri | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2017-05-05 |
1194250936 | Jeremy Reid | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2017-05-01 |
1952789125 | Michael Ferraro | Family Medicine | 95 Leonard Avenue, Building 2 2nd Floor, Washington, PA 15301 | 2015-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
Find all providers in zip 15301 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974422 | Alexandra Skinner | Nurse Practitioner | 110 Irving St Nw Rm 4b-42, Washington, DC 20010-3017 | 2020-02-18 |
1508463910 | Liane Okada | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
1154967479 | Kari Ellenore Ogard | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2019-11-21 |
1033680772 | Carlin Rose Gerba | Nurse Practitioner | 155 Wilson Ave, Washington, PA 15301-3336 | 2018-12-06 |
1457830440 | Tracy Smith | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2018-08-09 |
1366992406 | Sheila Smith | Nurse Practitioner | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2016-10-13 |
1982007340 | Matthew Brown | Nurse Practitioner | 900 23rd St Nw, Washington, DC 20037-2342 | 2014-09-30 |
1730123761 | Deborah L Beech | Nurse Practitioner | 125 North Franklin Drive, Suite 1, Washington, PA 15301 | 2006-06-16 |
1053371526 | Dana Fowler | Nurse Practitioner | 400 E Polk St, Washington, IA 52353-1237 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295393213 | Eunhwa Hong | Nurse Practitioner | 1167 Canterbury Dr, Lansdale, PA 19446-5359 | 2019-06-04 |
1093276289 | William J Ravert Jr. | Nurse Practitioner | 4713 E Trindle Rd, Mechanicsburg, PA 17050-3616 | 2019-03-29 |
1720534068 | Jacob R Corbin | Nurse Practitioner | 200 Lothrop Street (upmc Presby- Ccm Office), 6 Floor Scaife Hall, Pittsburgh, PA 15232 | 2016-08-28 |
1063663854 | Michelle D Keibler | Nurse Practitioner | 200 Delafield Rd Ste 2040, Pittsburgh, PA 15215-3234 | 2008-10-10 |
1386894939 | Patricia Anne Kroekel | Nurse Practitioner | 423 N Pennsylvania, Morrisville, PA 19067 | 2008-09-19 |
1205937182 | Carol S Hasse-jungkurth | Nurse Practitioner | 974 Wind Song Rd, West Chester, PA 19382-2055 | 2006-09-26 |
1174514152 | Stephanie Cristoaica | Nurse Practitioner | 1697 Crown Avenue, Lancaster, PA 17601-6310 | 2005-10-31 |
1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1710594262 | Kate Nikorak | Nurse Practitioner | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2020-09-29 |
Find all providers with the same taxonomy |
City | WASHINGTON |
Zip Code | 15301 |
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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.