LATIA MICHELLE HICKERSON (NPI# 1811238652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811238652 |
Entity Type | Individual |
Full Name | LATIA MICHELLE HICKERSON |
Other Name | LATIA MICHELLE WADE |
Credential | WHNP |
Practice Address |
17000 El Camino Real Ste 209 Houston TX 77058-2633 |
Practice Telephone | 8329306345 |
Practice Fax Number | 2817544903 |
Mailing Telephone | 8329306345 |
Enumeration Date | 2013-03-04 |
Last Update Date | 2018-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 794027 | TX | Allopathic & Osteopathic Physicians |
Y | 363L00000X | Nurse Practitioner | AP122845 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 794027 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
17000 EL CAMINO REAL STE 209 |
City | HOUSTON |
State | TX |
Zip Code | 77058-2633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528032927 | Nora J Davis | Psychiatry & Neurology | 17000 El Camino Real, Ste. 302a, Houston, TX 77058-2636 | 2006-02-14 |
1225300965 | Mary A Wheeler | Massage Therapist | 17000 El Camino Real, 305a, Houston, TX 77058-2636 | 2012-01-26 |
1710147897 | Nora J Davis Md Pa | Psychiatry & Neurology | 17000 El Camino Real, Ste 302a, Houston, TX 77058 | 2008-06-12 |
1720120165 | Vicki Junck | Counselor | 17000 El Camino Real, Ste.105e, Houston, TX 77058-2636 | 2007-02-13 |
1740358191 | Second Silhouette, Inc | Prosthetic/Orthotic Supplier | 17000 El Camino Real, Suite 106, Houston, TX 77058-2636 | 2006-12-02 |
1669556833 | Robert R Pace IIi | Counselor | 17000 El Camino Real, Suite 105e, Houston, TX 77058-2636 | 2006-10-25 |
1134209455 | Clear Lake Neurology Pllc | Specialist | 17000 El Camino Real, #205, Houston, TX 77058-2636 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
Find all providers in zip 77058 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696246 | Ev Collaborative House Calls LLC | Nurse Practitioner | 16325 Westheimer Rd, Houston, TX 77082-1233 | 2020-10-16 |
1386257137 | Joshua John Ramos | Nurse Practitioner | 6565 Fannin St Ste Alkek754, Houston, TX 77030-2703 | 2020-08-30 |
1902419880 | Andrea Randazzo Kummer | Nurse Practitioner | 3351 Clear Lake City Blvd, Houston, TX 77059-2506 | 2020-08-28 |
1225647985 | Madison Dale Larose | Nurse Practitioner | 2047 Westcreek Ln Unit 409, Houston, TX 77027-3748 | 2020-07-29 |
1609499516 | Glow Maven | Nurse Practitioner | 4544 Post Oak Place Dr Ste 254, Houston, TX 77027-3104 | 2020-05-26 |
1457971889 | Threase Y Mitchell | Nurse Practitioner | 6806 Oakmantle Dr, Houston, TX 77085-1336 | 2020-04-27 |
1023646718 | Tracy Ann Strown | Nurse Practitioner | 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 | 2020-03-30 |
1649804550 | Jessica Schneider Vanover | Nurse Practitioner | 4950 Fm 1960 Rd W Ste A6, Houston, TX 77069-4517 | 2020-02-29 |
1124658679 | Neumed, LLC | Nurse Practitioner | 2401 N Shepherd Dr, Houston, TX 77008-1957 | 2020-01-23 |
1306481049 | Grace Usoro | Nurse Practitioner | 3434 Cline St, Houston, TX 77020-6126 | 2019-11-15 |
Find all providers in HOUSTON |
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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.