MR. CHARLES HICKS (NPI# 1447430905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447430905 |
| Entity Type | Individual |
| Full Name | MR. CHARLES HICKS |
| Practice Address |
111 Nw 183rd St Suite 400 Miami Gardens FL 33169-4537 |
| Practice Telephone | 3058924753 |
| Practice Fax Number | 3054930814 |
| Mailing Telephone | 3058924753 |
| Mailing Fax Number | 3054930814 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5162196 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609489 | Charles I Hicks | Pharmacist | 9807 Beachvie Dr, Jerome, MI 49249-9551 | 2012-08-23 |
| 1992809214 | Charles Michael Hicks | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2006-09-08 |
| 1831400860 | Charles H Hicks | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-06-24 |
| 1902053598 | Charles Melville Stanley Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-08-26 |
| 1619149721 | Charles P Hicks | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2008-03-28 |
| 1558484493 | Charles William Hicks IIi | Psychiatry & Neurology | 8831 Satyr Hill Rd, Suite 211, Baltimore, MD 21234-2306 | 2007-04-07 |
| 1801959671 | Charles Hicks | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1720186802 | Charles E Hicks | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| 1508851627 | Charles Roby Hicks Jr. | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2005-09-14 |
| Street Address |
111 NW 183RD ST SUITE 400 |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33169-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736149 | Community Connections for Life | Case Management | 111 Nw 183rd St, Suite 424, Miami Gardens, FL 33169-4537 | 2016-08-27 |
| 1366746158 | Paul F Jaquith | Social Worker | 111 Nw 183rd St, Miami Gardens, FL 33169-4537 | 2011-01-07 |
| 1245492404 | Vivina Elgueta | Counselor | 111 Nw 183rd St, Suite 500, Miami Gardens, FL 33169-4537 | 2008-06-30 |
| 1841458908 | Distinct Health Care Services Incorporated | Home Health | 111 Nw 183rd St, Suite #424, Miami Gardens, FL 33169-4537 | 2008-05-27 |
| 1316121908 | Fachida Coreus | Registered Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-12-19 |
| 1861672313 | Eunice Dada | Registered Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1437339991 | Jeanette Cushion | Licensed Practical Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1902086465 | Mosun Akinlabi | Registered Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1235319781 | Diana Crayton | Registered Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1538348081 | Donna Julio | Registered Nurse | 111 Nw 183rd St, Suite 500, Miami Gardens, FL 33169-4537 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891950085 | Novlet Ambersley-hudson | Licensed Practical Nurse | 1340 Nw 207th St Ste D, Miami Gardens, FL 33169-2331 | 2008-07-28 |
| 1437339991 | Jeanette Cushion | Licensed Practical Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1427237973 | Jackie Jessurun | Licensed Practical Nurse | 111 Nw 183rd St, Suite 500, Miami Gardens, FL 33169-4537 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962175 | Talor Meigs | Licensed Practical Nurse | 870 Mande Ct, Shalimar, FL 32579-2303 | 2020-11-02 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1841898657 | Tamesha L Montgomery | Licensed Practical Nurse | 112 Stock Ave, Interlachen, FL 32148-5095 | 2020-10-14 |
| 1346857299 | Ieshia Nesbitt | Licensed Practical Nurse | 9633 Ne 2nd Dr, Wildwood, FL 34785-8440 | 2020-09-24 |
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1366057796 | Djuana M Carter | Licensed Practical Nurse | 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 | 2020-09-11 |
| 1881208130 | Myra Louise Peoples | Licensed Practical Nurse | 4473 Se Village Rd, Stuart, FL 34997-8234 | 2020-09-03 |
| 1417560731 | Melanie Reyes | Licensed Practical Nurse | 968 Allendale Rd, West Palm Beach, FL 33405-1346 | 2020-08-26 |
| 1003429788 | Meline St Pierre | Licensed Practical Nurse | 6607 Willow Street, Zellwood, FL 32798 | 2020-08-24 |
| 1427669134 | Phedia Jean Baptiste | Licensed Practical Nurse | 4709 Nw 9th Dr, Plantation, FL 33317-1482 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33169 |
Please comment or provide details below to improve the information on MR. CHARLES HICKS.
| 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.