STEFANIE LYNN HICKS (NPI# 1730481599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730481599 |
| Entity Type | Individual |
| Full Name | STEFANIE LYNN HICKS |
| Credential | C.O.L.T. |
| Practice Address |
39 Shortcut Road Inchelium WA 99138 |
| Mailing Address |
Po Box 381 Inchelium WA 99138-0381 |
| Practice Telephone | 5097227006 |
| Practice Fax Number | 5097227021 |
| Mailing Telephone | 5097227612 |
| Mailing Fax Number | 5097227021 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | HC 00145861 | WA | Technologists, Technicians & Other Technical Service Providers |
| Y | 247200000X | Technician, Other | 209773 | WA | Technologists, Technicians & Other Technical Service Providers |
| N | 247200000X | Technician, Other | XT00006166 | WA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
39 SHORTCUT ROAD |
| City | INCHELIUM |
| State | WA |
| Zip Code | 99138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248384 | Lorrie June Dawson | Nurse Practitioner | 39 Shortcut Road, Inchelium, WA 99138 | 2006-08-04 |
| 1578188165 | Thomas Lilly | Social Worker | 39 Shortcut Road, Inchelium, WA 99138 | 2020-06-10 |
| 1336771674 | Ashley Evelyn Taylor | Dentist | 39 Shortcut Road, Inchelium, WA 99138 | 2020-02-05 |
| 1477114650 | Nessamarie Eueva Bates | Physical Therapist | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2019-06-27 |
| 1851806673 | Juliann Munkers | Nurse's Aide | 39 Shortcut Road, Inchelium, WA 99138 | 2017-12-04 |
| 1588111009 | Kim Rosenthal | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2016-09-01 |
| 1972926574 | Tyrell Allen Tonasket | Massage Therapist | 39 Shortcut Road, Inchelium, WA 99138 | 2014-02-03 |
| 1295093581 | Kimberly Rose Simpson | Technician, Other | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2012-04-25 |
| 1639474943 | Kimberly Ann Walters | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2011-01-18 |
| 1497870372 | Confederate Tribes of The Colville Reservation | Clinic/Center | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597360 | Shannon Marie Dripps | Registered Nurse | 39 Shortcut Rd., Inchelium, WA 99138 | 2020-01-08 |
| 1427612597 | Angela L Mcclain | Nurse Practitioner | 3052 Bridge Creek Rd, Inchelium, WA 99138 | 2019-04-24 |
| 1033411830 | Tanya Marie Mason | Registered Nurse | 39 Shortcut Rd, Inchelium, WA 99138 | 2010-11-30 |
| 1699951236 | Gary S May | Dentist | 39 Shorrtcut Rd, 290 Ox, Inchelium, WA 99138 | 2008-01-14 |
| 1902948862 | Diane Carol Mills | Registered Nurse | 36 Shortcut Road, Inchelium, WA 99138 | 2007-02-13 |
| 1487665386 | Inchelium School District #70 | Local Education Agency (LEA) | 1 Hornet Ave, Inchelium, WA 99138 | 2006-08-10 |
| 1043264054 | Colville Nation Community Health Center | Clinic/Center | 39 Short Cut Rd, Inchelium, WA 99138 | 2006-05-22 |
| 1912557240 | Arielle Anastasia Cawston | Dental Therapist | 39 Short Cut Rd, Inchelium, WA 99138 | 2019-09-18 |
| 1629544457 | David Colvin | Nurse Practitioner | 39 Shortcut Rd, Inchelium, WA 99138 | 2018-10-19 |
| 1700391505 | Kaley Jo Obrien | Dental Hygienist | 39 Shortcut Rd, Inchelium, WA 99138 | 2017-12-04 |
| Find all providers in zip 99138 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053821124 | Patrick Finley Jr. | Technician, Other | 39 Short Cut Rd, Inchelium, WA 99138-0290 | 2017-10-03 |
| 1295093581 | Kimberly Rose Simpson | Technician, Other | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1376012351 | Jennifer D English | Technician, Other | 9208 Ne Highway 99 Ste 107-78, Vancouver, WA 98665-8986 | 2018-11-19 |
| 1588149272 | Allison Rice | Technician, Other | 12650 Se 169th Pl, Renton, WA 98058-6133 | 2018-09-27 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1932608049 | Peach Willow LLC | Technician, Other | 9015 E Mill Plain Blvd, Vancouver, WA 98664-2536 | 2018-02-03 |
| 1124535364 | Lice Clinics of America | Technician, Other | 6632 S 191st Pl Ste E107, Kent, WA 98032-2117 | 2018-01-09 |
| 1578073029 | Evan Dyar | Technician, Other | 4713 Cottage Pl Sw, Seattle, WA 98106-1325 | 2017-10-10 |
| 1255840211 | Anne Messler | Technician, Other | 4649 Sunnyside Ave N Ste 242, Seattle, WA 98103-6955 | 2017-09-21 |
| 1760903975 | Iva Le | Technician, Other | 17500 25th Ave Ne Unit M207, Marysville, WA 98271-4749 | 2017-06-28 |
| 1720508906 | Dylan Howell | Technician, Other | 120 Ne 136th Ave Ste 220, Vancouver, WA 98684-6951 | 2017-06-20 |
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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.