RANDALL S HICKS (NPI# 1760726699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760726699 |
| Entity Type | Individual |
| Full Name | RANDALL S HICKS |
| Credential | APRN |
| Practice Address |
300 Tuskegee Blvd Dover Afb DE 19902 |
| Mailing Address |
300 Tuskegee Blvd Dover Afb DE 19902-5003 |
| Practice Telephone | 3026772600 |
| Mailing Telephone | 3026772600 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
111716 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Capehart Rd, Offutt Afb, NE 681131043 | 4022946033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831346329 | Randall Hicks | Chiropractor | 24326 Mission Blvd Ste 3, Hayward, CA 94544-1058 | 2008-08-26 |
| 1699983940 | Randall Blair Hicks | Psychologist | 22 South State Street, Newtown, PA 18940-3507 | 2007-05-18 |
| 1932677010 | Randall Hicks | Behavior Technician | 3978 Sorrento Valley Blvd Ste 100, San Diego, CA 92121-1436 | 2018-11-07 |
| 1982600060 | Randall D Hicks | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-23 |
| Street Address |
300 TUSKEGEE BLVD |
| City | DOVER AFB |
| State | DE |
| Zip Code | 19902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536813 | Phillip Warren Petterborg | Optometrist | 300 Tuskegee Blvd, Dover Afb, DE 19902-5300 | 2005-08-30 |
| 1578181442 | Jessica Rumsley | Military Health Care Provider | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2020-07-08 |
| 1386125052 | Thomas Brown | Physician Assistant | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2018-08-22 |
| 1871084772 | Catoya Hale | Nurse Practitioner | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2018-05-25 |
| 1104350024 | Bichle Thi Nguyen | Preventive Medicine | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2017-04-18 |
| 1427582659 | Adnan Mehboob | Family Medicine | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2017-04-14 |
| 1003350109 | Stephen Scott Grabner II | Student in an Organized Health Care Education/Training Program | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2016-12-07 |
| 1134588973 | Andrew Kung | Pediatrics | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2016-02-22 |
| 1619357753 | Marisa Romeo | Dentist | 300 Tuskegee Blvd, Bldg 304, Dover Afb, DE 19902-5300 | 2015-06-03 |
| 1811301112 | Lynne Werth | Family Medicine | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2014-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434632 | Leanne Mccarron | Dentist | Dover Afb, 436 Omrs/sgpd, Apo, AA 19902 | 2018-04-23 |
| 1568892446 | Ami Campbell | Veterinarian | 643 Atlantic Ave, Dover, DE 19902 | 2013-11-14 |
| 1609135045 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 266, Arnold Drive, Dover Afb, DE 19902 | 2012-05-04 |
| 1700080363 | Dori Mitchell Franco | Pathology | 115 Purple Heart Ave, Dover Afb, DE 19902 | 2007-06-14 |
| 1235384926 | Terri Lynn Turchan | Social Worker | 300 Tuskegee, Dover Airforce Base, Dover, DE 19902-2849 | 2008-11-21 |
| 1982129300 | Catherine Tien | Dentist | 300 Tuskegee Blvd Bldg 304, Dover Afb, DE 19902-5003 | 2017-08-07 |
| 1679905889 | Jeremiah Goldberg | Social Worker | 300 Tuskegee Blvd Bldg 300, Dover Afb, DE 19902-5003 | 2013-07-30 |
| 1467852871 | Geoffrey Borro | Dietitian, Registered | 300 Tuskegee Blvd Bldg 300, Dover Air Force Base, DE 19902-5003 | 2014-09-04 |
| 1144635350 | Fahad Pervez | Family Medicine | 300 Tuskegee Blvd Bldg 300, Dover Afb, DE 19902-5003 | 2014-06-25 |
| 1215039086 | Alice Jean Briones | Pathology | 115 Purple Heart Ave, Dover Afb, DE 19902-5051 | 2006-09-02 |
| Find all providers in zip 19902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436300 | Constance Crane | Nurse Practitioner | 1711 Windswept Ct, Dover, DE 19901-5854 | 2020-10-28 |
| 1649870627 | Anita L Tyndall | Nurse Practitioner | 200 Banning St Ste 250, Dover, DE 19904-3492 | 2020-10-28 |
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1295362333 | Melanie L Sciarra | Nurse Practitioner | 125 Greentree Dr Ste 1, Dover, DE 19904-7656 | 2020-03-26 |
| 1023655842 | Reny Varghese | Nurse Practitioner | 1225 Walker Rd # 6541, Dover, DE 19904-6541 | 2019-12-01 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1720621501 | Mary Mbabe Nanjo-allicock | Nurse Practitioner | 932 Wildel Ave, New Castle, DE 19720-6151 | 2019-10-23 |
| 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.