ALICIA J HICKS (NPI# 1578714986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578714986 |
| Entity Type | Individual |
| Full Name | ALICIA J HICKS |
| Other Name | ALICIA J BRUNNER |
| Credential | PA-C |
| Practice Address |
2175 Nw Shevlin Park Rd Bend OR 97703 |
| Mailing Address |
2175 Nw Shevlin Park Rd Bend OR 97703-7101 |
| Practice Telephone | 5413897741 |
| Practice Fax Number | 5412788375 |
| Mailing Telephone | 5413897741 |
| Mailing Fax Number | 5412788375 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA176350 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA001137 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 144 State St, Portland, ME 041013776 | 2078793000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242022 | Alicia Hicks | Behavior Technician | 6266 Wiscasset Pkwy Nw, Dallas, GA 30157-6549 | 2020-10-14 |
| 1245849603 | Alicia C Hicks | Counselor | 2145 Graves Rd, Hockessin, DE 19707-9129 | 2020-07-30 |
| Street Address |
2175 NW SHEVLIN PARK RD |
| City | BEND |
| State | OR |
| Zip Code | 97703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921350 | Carolyn K Day | Internal Medicine | 2175 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2006-05-19 |
| 1043569437 | Kimberly A Kleaveland | Nurse Practitioner | 2175 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2012-08-31 |
| 1588858351 | Jennifer Brooke Warton | Pediatrics | 2175 Nw Shevlin Park Rd, Bend, OR 97703 | 2007-09-04 |
| 1568518728 | Lisa Jill Uri | Family Medicine | 2175 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2007-01-28 |
| 1770650913 | Jessica L Gatto | Nurse Practitioner | 2175 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357897 | Cody Manriquez | Physician Assistant | 3128 Ne Post Ave, Bend, OR 97701-7646 | 2020-02-10 |
| 1649835208 | Karly Jane Rudy | Physician Assistant | 108 Nw Sisemore St Ste 120, Bend, OR 97703-2869 | 2019-05-08 |
| 1518450931 | Johane Van Camp | Physician Assistant | 18819 Peony Pl, Bend, OR 97702-9135 | 2018-06-11 |
| 1023526423 | Hope Elizabeth Cline | Physician Assistant | 19393 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2018-01-19 |
| 1659627354 | Lindsey Johnson Clark | Physician Assistant | 1693 Sw Chandler Ave Ste 250, Bend, OR 97702-3231 | 2012-07-31 |
| 1881960979 | Bdgr Surgical Assisting | Physician Assistant | 3005 Ne Roxy Pl, Bend, OR 97701-3858 | 2012-03-22 |
| 1396049680 | Jessica Lauren Dinsdale | Physician Assistant | 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 | 2011-01-01 |
| 1417103268 | Adam Jeffrey Short | Physician Assistant | 1303 Ne Cushing Dr., Suite 100, Bend, OR 97701 | 2008-08-12 |
| 1881877876 | Lisa S Turner | Physician Assistant | 2275 Ne Doctors Dr Ste 2, Bend, OR 97701-6324 | 2007-12-12 |
| 1902016652 | Shelley Maurice-maier | Physician Assistant | 2597 Nw Champion Cir, Bend, OR 97701-8692 | 2007-05-23 |
| Find all providers in BEND | ||||
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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.