MRS. BONNIE B HICKS (NPI# 1467564583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467564583 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE B HICKS |
| Credential | RN |
| Practice Address |
207 Commerce Ave Chesterfield Mhc Chesterfield SC 29709 |
| Mailing Address |
Po Box 471 Chesterfield SC 29709 |
| Practice Telephone | 8436232229 |
| Practice Fax Number | 8436232553 |
| Mailing Telephone | 8436232229 |
| Mailing Fax Number | 8436232553 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
33136 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405127 | 05 |
| Street Address |
207 COMMERCE AVE CHESTERFIELD MHC |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| 1760957286 | Jan Psillos | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2018-10-11 |
| 1871091074 | Krystle Dionna Graham Baker | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2018-01-23 |
| 1396261012 | Chaniqua Desiree Mazyck | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2017-08-15 |
| 1346692548 | Marsha Lynn Jackson | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2016-07-12 |
| 1033537188 | Cynthia H. Griffin | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2014-04-04 |
| 1346501095 | Michael James Stolarik | Counselor | 207 Commerce Ave, Chesterfield, SC 29769 | 2012-05-30 |
| 1134427990 | Shannon Marie Haigler | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2011-03-03 |
| 1962685164 | Ivan Jermaine Belin | Counselor | 207 Commerce Ave, Chesterfield, SC 29709-0471 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1477109346 | Tanganyika Onyema Wright | Counselor | 207 Commerce Drive, Chesterfield, SC 29709 | 2019-08-15 |
| 1386155745 | Naomi Guzman | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2017-10-12 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629450036 | Nora Mcclung | Registered Nurse | 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 | 2015-06-22 |
| 1659768042 | Monica Streat | Registered Nurse | 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 | 2015-04-23 |
| 1831586189 | Lisa Walker | Registered Nurse | 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 | 2015-04-23 |
| 1104938216 | Nancy P White | Registered Nurse | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1902212251 | New Day Emotional Care, LLC | Registered Nurse | 2117 W Palmetto St Ste A, Florence, SC 29501-3902 | 2014-07-08 |
| 1194137091 | Carmen White-baltimore | Registered Nurse | 4794 Baltimore Pl, Charleston, SC 29418-3485 | 2014-05-27 |
| 1518381599 | Rosalinde M Rhynes | Registered Nurse | 3805 Saluda Rd, Rock Hill, SC 29730-7262 | 2014-02-11 |
| 1952654527 | Veronica Smith | Registered Nurse | 3473 Lockhart Hwy, Union, SC 29379-8526 | 2012-10-19 |
| 1154670586 | Karissa Ann Chorbajian | Registered Nurse | 248 Earle Dr, Greenville, SC 29611-4408 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
Please comment or provide details below to improve the information on MRS. BONNIE B 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.