MARY HICKS (NPI# 1447241229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447241229 |
| Entity Type | Individual |
| Full Name | MARY HICKS |
| Credential | NP |
| Practice Address |
1 Ford Pl Detroit MI 48202 |
| Mailing Address |
28690 Old North River Rd Harrison Twp MI 48045-1619 |
| Practice Telephone | 8006536568 |
| Mailing Telephone | 5868018488 |
| Mailing Fax Number | 5862284520 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704154971 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1447241229 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22151 Moross Rd, Pbi Suite 131, Detroit, MI 482362167 | 3133433072 | 3133434234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484254 | Mary Hicks | Registered Nurse | 135 Se County Road 3144, Corsicana, TX 75109-0689 | 2020-07-09 |
| 1205135597 | Mary Jane Hicks | Licensed Practical Nurse | 2506 Davidson Ave, 5e, Bronx, NY 10468-4258 | 2011-03-25 |
| 1699003236 | Mary Hicks | Pharmacist | 800 W Magnolia Ave Ste 130, Fort Worth, TX 76104-4611 | 2009-11-19 |
| 1114183647 | Mary A. Hicks | Nurse Practitioner | 13400 S. Pleasant Valley Rd., Imsi, Boise, ID 83707 | 2008-08-04 |
| 1821288978 | Mary Frances Hicks | Licensed Practical Nurse | 35 Clinton St, Batavia, NY 14020-2822 | 2007-07-25 |
| 1447463989 | Mary Lawrence Hicks | Nurse Practitioner | 995 Potrero Ave # 86, San Francisco, CA 94110-2859 | 2007-05-08 |
| 1811415474 | Mary Katherine Hicks | Nurse Practitioner | 1030 N Monroe St, Monroe, MI 48162-3113 | 2017-09-05 |
| 1841711462 | Mary Hicks | Counselor | 225 S Main St Ste B, Versailles, KY 40383-1582 | 2017-07-05 |
| 1023410214 | Mary Hicks | Social Worker | 36 Union St., Dryden, NY 13053-0088 | 2014-09-19 |
| 1386903789 | Mary C Hicks | Physical Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-05-07 |
| Street Address |
1 FORD PL |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870769 | Robert Devore | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2020-08-03 |
| 1740831668 | Sarah Anna Moore | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2019-09-23 |
| 1043863897 | Bethany Thayer | Dietitian, Registered | 1 Ford Pl, Detroit, MI 48202-3450 | 2019-07-22 |
| 1609380328 | Tanesha Lowery | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-11-17 |
| 1972012904 | Alaina Grace Esposito | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-09-21 |
| 1780107029 | Kellie Martens | Psychologist | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-07-19 |
| 1164956538 | Shaelyn Nicole Gurzick | Dietitian, Registered | 1 Ford Pl, Suite 5c, Detroit, MI 48202-3450 | 2017-04-12 |
| 1093251878 | Chinwe Obioha | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202-3450 | 2017-01-17 |
| 1881142115 | Ivory Villanueva Fulgencio | Nurse Anesthetist, Certified Registered | 1 Ford Pl, Ste 2e, Detroit, MI 48202-3450 | 2016-09-15 |
| 1699137620 | Jessica Andreasen | Social Worker | 1 Ford Pl, Detroit, MI 48202-3450 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1629616511 | Nursing Practice Corporation | Nurse Practitioner | 1550 Taylor St, Detroit, MI 48206-2081 | 2019-12-11 |
| 1578026076 | Julia Christine Zaddock | Nurse Practitioner | 12800 Toronto St., Detroit, MI 48217 | 2019-04-11 |
| 1629552112 | Katelyn E. Hamann | Nurse Practitioner | Children's Hosptial of Mi, 3901 Beaubien - 2nd Fl - Carl's Bldg, Detroit, MI 48201-2119 | 2018-09-20 |
| 1750801023 | Amy Marie Bertha | Nurse Practitioner | New Center One/endocrinology/metabolism, 3031 W. Grand Blvd, Detroit, MI 48202 | 2017-06-27 |
| 1376077107 | Maryam Hakemi | Nurse Practitioner | 3990 John R. St., Harper University Hospital, Detroit, MI 48201 | 2017-04-19 |
| 1841748076 | Jennifer N. Watson | Nurse Practitioner | 3950 Beaubien - Ground Fl, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-16 |
| 1891164323 | Cheryl Barratt | Nurse Practitioner | Children's Hospital of Mi - Er, 3901 Beaubien, Detroit, MI 48201 | 2015-09-15 |
| 1730556291 | Markita Marie Thompson | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2015-08-31 |
| 1316372980 | Sarah Kironde | Nurse Practitioner | 7700 2nd Avenue, Detroit, MI 48202 | 2013-09-13 |
| 1679917322 | Arlanda Latrice Smith | Nurse Practitioner | 8904 Woodward Ave, Detroit, MI 48202-1821 | 2013-04-24 |
| Find all providers in DETROIT | ||||
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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.