MRS. LYDIA ELLEN HICKS (NPI# 1710494117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710494117 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA ELLEN HICKS |
| Other Name | MS. LYDIA ELLEN BOYCE |
| Credential | RN |
| Practice Address |
214 W. Longview Drive Portland TN 37148 |
| Mailing Address |
1443 Winding Way Drive White House TN 37188 |
| Practice Telephone | 6153255237 |
| Mailing Telephone | 6152755214 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000183239 | TN | Nursing Service Providers |
| Street Address |
214 W. LONGVIEW DRIVE |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| 1134556616 | Brandy Nicole Carson | Nurse Practitioner | 201 N Broadway, Portland, TN 37148-1111 | 2013-09-30 |
| Find all providers in zip 37148 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
| 1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
| 1275022675 | Jennifer Rohner | Registered Nurse | 10217 Ne Knott St, Portland, OR 97220-2861 | 2018-05-02 |
| 1871018309 | Erin Elizabeth Graff | Registered Nurse | 5112 Ne 47th Pl, Portland, OR 97218-2066 | 2017-08-05 |
| 1487181004 | Evan Dean | Registered Nurse | 1820 Se 50th Ave, Portland, OR 97215-3236 | 2017-05-12 |
| 1285174466 | Gina Elaine Marchi | Registered Nurse | 3635 Ne 45th Ave, Portland, OR 97213-1023 | 2017-03-07 |
| 1770820532 | Terry Edward Jess | Registered Nurse | 8512 Se 13th Ave, Portland, OR 97202-7106 | 2013-01-13 |
| 1942575881 | Greg Clarke Ferguson | Registered Nurse | 4522 Se Lincoln St, Portland, OR 97215-3744 | 2012-03-10 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1750665857 | Marilou N Carrera | Registered Nurse | 8216 N Brandon Ave, Portland, OR 97217-6805 | 2011-10-06 |
| Find all providers in PORTLAND | ||||
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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.