JESSICA HICKMAN (NPI# 1396235289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396235289 |
| Entity Type | Individual |
| Full Name | JESSICA HICKMAN |
| Practice Address |
11920 Astoria Blvd Suite 110 Houston TX 77089 |
| Mailing Address |
11920 Astoria Blvd Ste 110 Houston TX 77089-6155 |
| Practice Telephone | 2814814646 |
| Mailing Telephone | 2814814646 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
779781 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP137444 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11920 ASTORIA BLVD SUITE 110 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878816 | Aslam Loya | Internal Medicine | 11920 Astoria Blvd, Suite 110, Houston, TX 77089 | 2005-08-16 |
| 1770036626 | Cynthia Janell Groves | Nurse Practitioner | 11920 Astoria Blvd, Suite # 110, Houston, TX 77089 | 2016-07-27 |
| 1508225467 | Lauren Tezak | Nurse Practitioner | 11920 Astoria Blvd, Suite 320, Houston, TX 77089-6097 | 2016-02-19 |
| 1346609583 | Amanda Barrett | Nurse Practitioner | 11920 Astoria Blvd, Suite 110, Houston, TX 77089-6097 | 2016-02-16 |
| 1619360401 | Rachel Lynn Poynter | Specialist/Technologist, Other | 11920 Astoria Blvd, Suite # 390, Houston, TX 77089-6097 | 2015-03-18 |
| 1700275666 | Innova Anesthesia Pllc | Anesthesiology | 11920 Astoria Blvd, Suite 130, Houston, TX 77089-6097 | 2015-01-15 |
| 1508261322 | Keonna J Leblanc | Physician Assistant | 11920 Astoria Blvd, Suite 130, Houston, TX 77089-6097 | 2014-10-23 |
| 1356751655 | Bhsa Anesthesia Pllc | Anesthesiology | 11920 Astoria Blvd, Suite 130, Houston, TX 77089-6097 | 2014-05-07 |
| 1205266228 | Coastal Medical Group | Rehabilitation Hospital | 11920 Astoria Blvd, Suite 110, Houston, TX 77089-6097 | 2013-11-13 |
| 1871923813 | Diana Sutton | Nurse Practitioner | 11920 Astoria Blvd, Suite 110, Houston, TX 77089-6097 | 2013-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117040 | Sehat Medical Transporters | Non-emergency Medical Transport (VAN) | 11881 Gulf Pointe Dr, Apt D12, Houston, TX 77089 | 2019-08-01 |
| 1780165225 | Cindie Wilson-le | Physical Therapist | 11902 Resoure Pkwy, Houston, TX 77089 | 2018-08-23 |
| 1760963219 | Stephanie Balli | Occupational Therapy Assistant | 10800 Flora Mae Meadows, Houston, TX 77089 | 2018-08-23 |
| 1669965166 | Every Day Matters LLC | Technician | 10418 Sageglow Dr, Houston, TX 77089 | 2018-06-08 |
| 1457867723 | Lakiesha A Talbert | Counselor | 11519 Cecil Summers Way, Houston, TX 77089 | 2017-12-21 |
| 1245754936 | Think Moore | Voluntary or Charitable | 10630 Seaford Dr, Houston, TX 77089 | 2017-08-03 |
| 1386164887 | Bryan Nguyen | Dentist | 11911 Meadow Hawk Dr., Houston, TX 77089 | 2017-06-26 |
| 1750742771 | Sharon Allen | Speech-Language Pathologist | 11144 Fuqua St. #518, Houston, TX 77089 | 2016-03-18 |
| 1699130914 | Fresenius Medical Care Beamer, LLC | Clinic/Center | 12727 Beamer Road, Houston, TX 77089 | 2015-12-31 |
| 1255743811 | Natalie Marie Fitzgerald | Nurse Practitioner | 11914 Astoria Blvd., Suite 510, Houston, TX 77089 | 2014-05-29 |
| Find all providers in zip 77089 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.