DR. WENDY ANN STAPLES HICKS (NPI# 1568873040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568873040 |
| Entity Type | Individual |
| Full Name | DR. WENDY ANN STAPLES HICKS |
| Credential | D.C. |
| Practice Address |
1445 Technology Ln Ste A3 Petaluma CA 94954-7613 |
| Practice Telephone | 7077829303 |
| Mailing Telephone | 7072857092 |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 32939 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295383230 | Wendy Lynn Hicks | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2019-09-03 |
| 1124519111 | Wendy Hicks | Behavior Technician | 1731 Sw 66th Dr, Gainesville, FL 32607-5369 | 2018-05-24 |
| 1497089791 | Wendy Nicole Hicks | Occupational Therapist | 819 Water St, Ste 300, Kerrville, TX 78028-5333 | 2009-09-21 |
| 1164517579 | Wendy Lee Hicks | Social Worker | 8495 Crater Lake Hwy, Va Sorcc, White City, OR 97503-3011 | 2006-10-03 |
| Street Address |
1445 TECHNOLOGY LN STE A3 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003272022 | Battaglino Family Chiropractic | Chiropractor | 620 Petaluma Blvd N, Ste. B, Petaluma, CA 94952-2869 | 2016-01-06 |
| 1396187985 | Anna F Curto | Chiropractor | 225 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2013-07-23 |
| 1790914125 | Amy Dilena | Chiropractor | 129 Keller St, Suite C, Petaluma, CA 94952-2314 | 2009-07-07 |
| 1205072782 | Beck Chiropractic Professional Corporation | Chiropractor | 6 Petaluma Blvd N Ste B8, Petaluma, CA 94952-3051 | 2009-01-05 |
| 1124264858 | David Dean Donaldson | Chiropractor | 709 Petaluma Blvd N # B, Petaluma, CA 94952-2106 | 2008-12-30 |
| 1457545089 | Donna Pontrello | Chiropractor | 1112 B St, Petaluma, CA 94952-4054 | 2007-08-27 |
| 1952502437 | Michelle Denise Arietta | Chiropractor | 1197 E Washington St, Petaluma, CA 94952-3383 | 2007-05-30 |
| 1801097746 | Restad Chiropractic, Inc. | Chiropractor | 1301 Redwood Way Ste 150, Petaluma, CA 94954-1136 | 2007-05-29 |
| 1609083179 | Steven Gerald Jones | Chiropractor | 406 Petaluma Blvd S, Petaluma, CA 94952-4247 | 2007-05-16 |
| 1669698809 | Daniel E. Marsh | Chiropractor | 231 N Mcdowell Blvd Ste B, Petaluma, CA 94954-8300 | 2007-04-17 |
| Find all providers in PETALUMA | ||||
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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.