TINA RACHELLE HICKMAN (NPI# 1679919682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679919682 |
| Entity Type | Individual |
| Full Name | TINA RACHELLE HICKMAN |
| Credential | APRN |
| Practice Address |
320 E 8th St Suite 142 Marietta OH 45750-3382 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403734111 |
| Practice Fax Number | 7403734860 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 77927 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN.CNP.16945 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MHCPI | P01490747 | 01 |
| OH | 0085813 | 05 | |
| WV | 3810026276 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Grand Central Ave Ste 106, Vienna, WV 261051079 | 3044226800 | 3044226900 |
| Street Address |
320 E 8TH ST SUITE 142 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571309 | Stephen Robert Stanley | Obstetrics & Gynecology | 320 E 8th St, Suite 142, Marietta, OH 45750-3382 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1326152695 | Michelle R. Jenkins | Nurse Practitioner | 699 Church St Ne Ste 235, Marietta, GA 30060-1132 | 2006-08-17 |
| 1649774753 | Julie Morin | Nurse Practitioner | 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064-6426 | 2018-03-22 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1659610731 | Barbara E Oess | Nurse Practitioner | 699 Church St Ne, Marietta, GA 30060-1110 | 2013-02-08 |
| 1659404887 | Cynthia Jeannette Matthews | Nurse Practitioner | 790 Church St Ne, Suite 410, Marietta, GA 30060-7282 | 2007-03-14 |
| 1265401616 | Herbert H Sharpe | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2006-03-17 |
| 1144299595 | Linda S Davis | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2006-03-17 |
| 1407825219 | Patricia G Duckworth | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2006-03-15 |
| 1437127594 | Anna R Bernhard | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2006-03-14 |
| Find all providers in MARIETTA | ||||
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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.