IVY ICKES (NPI# 1720312234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720312234 |
| Entity Type | Individual |
| Full Name | IVY ICKES |
| Practice Address |
4800 Memorial Dr Waco TX 76711-1329 |
| Practice Telephone | 2542973000 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 53470 | TX | Hospitals |
| Street Address |
4800 MEMORIAL DR |
| City | WACO |
| State | TX |
| Zip Code | 76711-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331013 | Raymond C Lisauckis | Counselor | 4800 Memorial Dr, Va Medical Center (124-vist-w), Waco, TX 76711-1329 | 2005-07-22 |
| 1558978817 | Macey Lynn Everett | Nutritionist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-09-29 |
| 1659980696 | Najeeah Smith | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-07-27 |
| 1679100309 | Sara Mariem Ramadan | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-03-24 |
| 1225660798 | Tiffany A Wilson | Licensed Practical Nurse | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-02-12 |
| 1972142164 | Sheri Lynn Shaw | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-01-05 |
| 1366085953 | Ashley P Evans | Registered Nurse | 4800 Memorial Dr, Waco, TX 76711 | 2019-10-25 |
| 1669021184 | Marian Nichole Guerrero | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-09-06 |
| 1003463191 | Paul Cook | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-08-22 |
| 1346892601 | Austen Anderson | Psychologist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
| 1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
| 1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
| 1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
| Find all providers in zip 76711 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773535 | Wbamc Dept of Medicine/im Training Program | Military Hospital | 5005 N. Piedras Street, Attn: Dom/im Program Wbamc, El Paso, TX 79920-5001 | 2015-06-18 |
| 1831578087 | Alma Denise Harman | Military Hospital | 13275 Emerald Creek Dr, Horizon City, TX 79928-6556 | 2015-05-20 |
| 1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
| 1366858938 | Baxter Healthcare Corporation | Military Hospital | 1618 Shady Holw, New Braunfels, TX 78132-2354 | 2014-07-03 |
| 1215353784 | Elizabeth Arnold | Military Hospital | 4539 Bissonnet St, Apt. 1, Bellaire, TX 77401-3127 | 2014-03-08 |
| 1770859878 | Oleg Balter | Military Hospital | 6231 Colony Crk, San Antonio, TX 78240-5320 | 2012-03-22 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1528357878 | Baylor College of Medicine | Military Hospital | 1709 Dryden Rd Ste 1100, Houston, TX 77030-2414 | 2011-04-06 |
| 1578898029 | Baylor College of Medicine | Military Hospital | 3103 Fairhope St, Houston, TX 77025-3228 | 2009-10-15 |
| 1548498058 | Yaoyao Zhu | Military Hospital | 1320 Austin Hwy, San Antonio, TX 78209 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IVY ICKES.
| 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.