MS. LAURA LYTTON HICKMOND (NPI# 1699081372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699081372 |
| Entity Type | Individual |
| Full Name | MS. LAURA LYTTON HICKMOND |
| Credential | N.P. |
| Practice Address |
1247 Ne Medical Center Dr Suite C Bend OR 97701-3786 |
| Mailing Address |
19527 Hollygrape St Bend OR 97702-2914 |
| Practice Telephone | 5413184249 |
| Practice Fax Number | 5413883832 |
| Mailing Telephone | 5413899284 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
080046486N7 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1247 NE MEDICAL CENTER DR SUITE C |
| City | BEND |
| State | OR |
| Zip Code | 97701-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805367 | William B Wignall | Family Medicine | 1247 Ne Medical Center Dr, Bend, OR 97701-3786 | 2005-10-19 |
| 1356570055 | Marta S Johnson-mitchell | Urology | 1247 Ne Medical Center Dr, Suite C, Bend, OR 97701-3786 | 2009-07-02 |
| 1821266263 | Nicole A O'neill | Physician Assistant | 1247 Ne Medical Center Dr, Suite C, Bend, OR 97701-3786 | 2008-02-19 |
| 1174735302 | Kevin Rueter | Family Medicine | 1247 Ne Medical Center Dr, Suite 3, Bend, OR 97701-3786 | 2007-05-03 |
| 1609901602 | Mike Daniel Henderson | Internal Medicine | 1247 Ne Medical Center Dr, Bend, OR 97701-3786 | 2007-02-22 |
| 1881635779 | Michael T Lavelle Jr. | Urology | 1247 Ne Medical Center Dr, Bend, OR 97701 | 2006-06-09 |
| 1285614792 | David A. Fredstrom | Family Medicine | 1247 Ne Medical Center Dr, C, Bend, OR 97701-3786 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1184178089 | Ashley Gish | Nurse Practitioner | 1102 Ne 4th St, Bend, OR 97701-4533 | 2016-08-09 |
| 1447550314 | Melissa N Adams | Nurse Practitioner | 2400 Ne Neff Rd Ste A, Bend, OR 97701 | 2010-10-26 |
| 1770632325 | Linda Lee Burgel | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2007-01-10 |
| 1861423022 | Gail Marie Jett | Nurse Practitioner | 2450 Ne Mary Rose Pl, Suite 220, Bend, OR 97701-7132 | 2006-07-06 |
| 1265468912 | Phyllis A Pengelly | Nurse Practitioner | 2330 Ne Division St, Suite 7, Bend, OR 97701-3530 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1093292971 | Tracie Lynn Wright | Nurse Practitioner | 572 Barton Rd, Eagle Point, OR 97524-4405 | 2018-07-24 |
| 1780048124 | Degrazia Wellness, LLC | Nurse Practitioner | 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 | 2016-04-12 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1013307685 | Christa Elane Degrazia | Nurse Practitioner | 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 | 2015-02-03 |
| 1699186395 | Jennifer Marie Kowalczyk | Nurse Practitioner | 715 Nw Dimmick St, Grants Pass, OR 97526-1536 | 2014-05-15 |
| 1558782318 | Rebecca M Meek | Nurse Practitioner | 2430 S 6th St, Klamath Falls, OR 97601-4342 | 2013-12-21 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1689004053 | Kendra Parkin | Nurse Practitioner | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2013-11-20 |
| 1467742205 | Jennifer Lynda Roberson | Nurse Practitioner | 12550 Sw 2nd St, Beaverton, OR 97005-0519 | 2011-04-13 |
| Find all providers with the same taxonomy | ||||
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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.