DAMON LOWELL HICKS (NPI# 1447737168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447737168 |
| Entity Type | Individual |
| Full Name | DAMON LOWELL HICKS |
| Practice Address |
6342 Saint Jean Dr Indianapolis IN 46217-3859 |
| Practice Telephone | 3177536294 |
| Mailing Telephone | 3177536294 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6342 SAINT JEAN DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46217-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1750789459 | Stephanie Johnson | Specialist/Technologist | 8542 Gallant Fox Dr., Indianapolis, IN 46217 | 2014-12-11 |
| 1336480623 | Lauren Marie Carter | Nurse Practitioner | 8970 S Meridian St., Indianapolis, IN 46217 | 2013-03-12 |
| 1912175662 | Staci L Vanzant | Social Worker | 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 | 2008-02-15 |
| 1568684934 | Lifetime Dental Care of Indiana, PC | Dentist | 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 | 2007-05-03 |
| 1912093659 | Anna Marie Heidenreich | Pharmacist | 8820 S Meridian #105, Indianapolis, IN 46217 | 2006-10-04 |
| 1669955449 | Jason Soultz | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2018-09-08 |
| 1649400896 | Nakeeta Stansberry | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2009-07-22 |
| 1316083652 | Linnea J. Nelson | Family Medicine | 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 | 2007-01-30 |
| Find all providers in zip 46217 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| 1356818744 | Christa R Henderson | Case Manager/Care Coordinator | 6301 Old Barn Ct, Indianapolis, IN 46268-4045 | 2018-10-24 |
| 1164999546 | Dominique Stuart | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-24 |
| 1457826513 | Christal Redd | Case Manager/Care Coordinator | 2819 Lambdin Ct, Indianapolis, IN 46268-5090 | 2018-10-04 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1720567712 | Monica M Lawrence | Case Manager/Care Coordinator | 924 Ardsley Dr, Indianapolis, IN 46234-2140 | 2018-08-09 |
| 1174017990 | Karen Jean Jones | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46217 |
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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.