TRACEY QUAY HICKMAN (NPI# 1477888790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477888790 |
| Entity Type | Individual |
| Full Name | TRACEY QUAY HICKMAN |
| Credential | FNP, APMHNP |
| Practice Address |
601 Foote St Corinth MS 38834-4834 |
| Practice Telephone | 6622874424 |
| Mailing Telephone | 6622874424 |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R782227 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R782227 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 FOOTE ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952344483 | Marshall Paul Vance | Psychiatry & Neurology | 601 Foote St, Corinth, MS 38834-4834 | 2006-06-13 |
| 1619324571 | Makaya Workman | Social Worker | 601 Foote St, Corinth, MS 38834-4834 | 2016-05-20 |
| 1417348681 | Region Iv Mhs | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2015-02-10 |
| 1740600808 | Region Iv | Nursing Care | 601 Foote St, Corinth, MS 38834-4834 | 2014-04-16 |
| 1578903472 | Anna Grace Mcferrin | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
| 1013357938 | Thomas Wilson Harington | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
| 1518306711 | Kristin Leigh Green | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-20 |
| 1669715975 | Diana Alyse Harrell | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-04-04 |
| 1457691867 | Susan Lamb Hardin | Registered Nurse | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-21 |
| 1114267937 | Tiffany Hope Wilbanks | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013664 | Hollie Dulaney Moffatt | Nurse Practitioner | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2020-08-14 |
| 1083833917 | Tabitha Perrigo | Nurse Practitioner | 601 Foote St, Corinth, MS 38834-4834 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
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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.