ADRIENE ALISA HICKERSON (NPI# 1710538681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710538681 |
| Entity Type | Individual |
| Full Name | ADRIENE ALISA HICKERSON |
| Practice Address |
301 Axis Dr Apt 207 Louisville KY 40206-0127 |
| Practice Telephone | 5023650698 |
| Mailing Telephone | 5023650698 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 3747A0650X | H92436703 | 01 |
| Street Address |
301 AXIS DR APT 207 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-0127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917365 | Regina Yvonne Hensley | Technician | 1600 Gardiner Ln Apt 217, Louisville, KY 40205-2715 | 2020-03-14 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1578114310 | Evelyn Denise Beasley | Technician | 7207 Austinwood Rd, Louisville, KY 40214-5925 | 2019-09-23 |
| 1336799444 | Alyssa Cox | Technician | 4107 Hispanyola Ct, Louisville, KY 40229-2633 | 2019-09-19 |
| 1225687270 | Lisa Haseker Thomas | Technician | 7901 Candleglow Ln, Louisville, KY 40214-5616 | 2019-09-11 |
| 1427562545 | Grace Home Care, Inc. | Technician | 7721 Wood Duck Way, Louisville, KY 40218-4181 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1679199624 | Brenda Daily | Technician | 2955 Reid Rd, Owensboro, KY 42303-2816 | 2020-06-24 |
| 1164051348 | Pamela Gay Garner | Technician | 1524 Gooch Pike, Paint Lick, KY 40461 | 2020-04-08 |
| 1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
| 1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
| 1790324192 | Judy Gale Niceley | Technician | 307 Hemlock Circle, Mount Vernan, KY 40456-6502 | 2020-01-02 |
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1578106456 | Mamie Marcum | Technician | 543 Camp Branch Road, Webbville, KY 41180 | 2019-10-23 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
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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.