MRS. CRISSY KICAK (NPI# 1356893242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356893242 |
| Entity Type | Individual |
| Full Name | MRS. CRISSY KICAK |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1930 U S Highway 190 W Livingston TX 77351-9600 |
| Practice Telephone | 9363279944 |
| Mailing Telephone | 9363279944 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP135559 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1930 U S HIGHWAY 190 W |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265476998 | Robert Gale Woodrome | Legal Medicine | 1930 U S Highway 190 W, Livingston, TX 77351-9600 | 2006-06-15 |
| 1144628157 | Laconia Blalock Bacon | Nurse Practitioner | 1930 U S Highway 190 W, Livingston, TX 77351-9600 | 2014-12-08 |
| 1265460919 | Woodrome Medical Pa | Legal Medicine | 1930 U S Highway 190 W, Livingston, TX 77351-9600 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265909121 | Rockcastle River Family Health Clinic Pllc | Nurse Practitioner | 9226 Main St, Livingston, KY 40445 | 2018-10-30 |
| 1679064265 | Xiomara Frans-cuber | Nurse Practitioner | 12 Cedar Gate Ct, Livingston, NJ 07039-8301 | 2018-05-20 |
| 1649641648 | Suzana Cane | Nurse Practitioner | 65 Hillside Ter, Livingston, NJ 07039-2843 | 2015-10-15 |
| 1114331311 | Ann Luna | Nurse Practitioner | 219 Eastwood Ave, Livingston, TX 77351-3342 | 2014-06-16 |
| 1497896286 | Bela Laschiver | Nurse Practitioner | 11 Crossbrook Pl, Livingston, NJ 07039-3710 | 2007-02-12 |
| 1962488643 | Lee Ann Condron | Nurse Practitioner | 1717 Hwy 59 S Bypass, Livingston, TX 77351 | 2005-12-15 |
| 1437769916 | Emma Anonuevo | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-08-09 |
| 1417580200 | Rabia Pasha | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-02-19 |
| 1285191817 | Nicole Kelley | Nurse Practitioner | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2019-03-01 |
| 1740757590 | Annamma Thomas | Nurse Practitioner | 94 Old Short Hills Road, Livingston, NJ 07039 | 2018-10-30 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
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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.