MRS. TARA LYNN HICKS (NPI# 1679660658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679660658 |
Entity Type | Individual |
Full Name | MRS. TARA LYNN HICKS |
Credential | ARNP |
Practice Address |
1420 156th Ave Ne Bellevue WA 98007-4421 |
Mailing Address |
18720 18th Ave Ne Shoreline WA 98155-2313 |
Practice Telephone | 4257471050 |
Mailing Telephone | 2063630710 |
Enumeration Date | 2006-10-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30007418 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558827410 | Tara Elizabeth Hicks | Counselor | 390 Hodgson Rd, Columbia Falls, MT 59912-9063 | 2019-02-15 |
Street Address |
1420 156TH AVE NE |
City | BELLEVUE |
State | WA |
Zip Code | 98007-4421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700909181 | Kimberly Jean Abbey | Nurse Practitioner | 1420 156th Ave Ne, Bellevue, WA 98007-4421 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
Find all providers in zip 98007 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
1346800026 | Mary M Meyers | Nurse Practitioner | 6 Grant Ave # G8, Bellevue, PA 15202-3858 | 2019-06-16 |
1477061844 | Cascade Allergy Center | Nurse Practitioner | 14205 Se 36th St Ste 365, Bellevue, WA 98006-1596 | 2018-01-18 |
1184922874 | Prisca Nwizugbo | Nurse Practitioner | 1800 112th Ave Ne Ste 150, Bellevue, WA 98004-2993 | 2011-03-04 |
1053391003 | Polly H Richardson | Nurse Practitioner | 2100 124th Ave Ne, Bellevue, WA 98005-1934 | 2006-01-17 |
1497733620 | Susan E Stone | Nurse Practitioner | 1120 112th Ave Ne, Suite 150, Bellevue, WA 98004-4500 | 2006-01-06 |
1558359984 | Linda M Fluke | Nurse Practitioner | 1200 112th Ave Ne, Ste C160, Bellevue, WA 98004-3732 | 2005-10-10 |
1639784259 | Olivia Bordiuk | Nurse Practitioner | 2424 156th Ave Ne, Bellevue, WA 98007-3814 | 2020-09-10 |
1760885701 | Heidi S Gilmore | Nurse Practitioner | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2014-10-06 |
1285036228 | Olga Abramova | Nurse Practitioner | 1515 116th Ave Ne Ste 205, Bellevue, WA 98004-3811 | 2014-09-22 |
Find all providers in BELLEVUE |
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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.