KATELYN HICKS (NPI# 1497308936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497308936 |
| Entity Type | Individual |
| Full Name | KATELYN HICKS |
| Credential | FNP |
| Practice Address |
4101 Torrance Blvd Torrance CA 90503-4607 |
| Mailing Address |
14889 Burrows Way Eastvale CA 92880-4503 |
| Practice Telephone | 3105407676 |
| Mailing Telephone | 5628991956 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012252 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347004 | Katelyn Hicks | Nurse Practitioner | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2017-06-29 |
| Street Address |
4101 TORRANCE BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142312 | Little Co Pharmacy | Pharmacy | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2005-08-25 |
| 1265044143 | Vanessa Escobar | Student in an Organized Health Care Education/Training Program | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2020-08-20 |
| 1538782149 | Sabrina Rae Verzosa Co | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2020-05-19 |
| 1689210718 | Daniel Abanoub Keroles | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-11-25 |
| 1134761091 | Zahra Esmail D O Professional Corp | Internal Medicine | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-10-11 |
| 1598312498 | Jonathan Malcolm Rojas | Nurse Practitioner | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-08-25 |
| 1780140780 | Shahida P Meghani | Nurse Practitioner | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2019-02-14 |
| 1609358977 | Providence Medical Institute | Hospitalist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-09-04 |
| 1750869566 | Providence Little Company of Mary, Torrance | General Acute Care Hospital | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-08-02 |
| 1861998973 | Sara Lee | Pharmacist | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827199 | Latosha Deanna Barnes | Nurse Practitioner | 22433 S Vermont Ave Apt 153, Torrance, CA 90502-2496 | 2020-09-23 |
| 1023644556 | Home Care Md Medical Group | Nurse Practitioner | 2785 Pacific Coast Hwy Ste E241, Torrance, CA 90505-7066 | 2020-03-16 |
| 1104466804 | Viviane Mirville | Nurse Practitioner | 23105 Madison St Apt 115, Torrance, CA 90505-3912 | 2020-01-09 |
| 1003452517 | Kriska Aimee Tiglao | Nurse Practitioner | 1328 Portola Ave, Torrance, CA 90501-2613 | 2019-11-19 |
| 1124681770 | Medhin Kahsay | Nurse Practitioner | 25252 Denny Rd, Torrance, CA 90505-7051 | 2019-04-19 |
| 1265902985 | Momoyo Ozawa | Nurse Practitioner | 2147 W 176th St, Torrance, CA 90504-3543 | 2018-11-26 |
| 1689186132 | Tammy Thrasher | Nurse Practitioner | 17820 Doty Ave, Torrance, CA 90504-3819 | 2017-10-24 |
| 1891207387 | Maria Lorena Geronimo Belardo | Nurse Practitioner | 3440 W Carson St Ste 302, Torrance, CA 90503-5729 | 2017-10-24 |
| 1740726744 | Maria Papa | Nurse Practitioner | 22129 Normandie Ave, Torrance, CA 90501-4042 | 2017-01-13 |
| 1568905990 | Christina Hanisch | Nurse Practitioner | 23326 Hawthorne Blvd Ste 100a, Torrance, CA 90505-3723 | 2016-12-03 |
| Find all providers in TORRANCE | ||||
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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.