KELLY HICKS


Address: 1315 York Ave Fl 2, Box 172, New York, NY 10021-5304
Phone: 2127460972

KELLY HICKS (NPI# 1821419532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821419532
Entity Type Individual
Full Name KELLY HICKS
Credential AGPC-NP
Practice Address 1315 York Ave Fl 2
Box 172
New York
NY 10021-5304
Practice Telephone 2127460972
Mailing Telephone 2127460972
Enumeration Date 2013-12-23
Last Update Date 2013-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
306756 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY HICKS

NPI Name Taxonomy Address Enumeration
1013374438 Kelly Hicks Occupational Therapy Assistant 1775 N Park Dr, Apt 1, Junction City, KS 66441-1892 2016-01-15
1033462536 Kelly Anne Hicks Pediatrics 6701 Fannin St, Suite 1020, Houston, TX 77030-2608 2012-10-21
1598053936 Kelly Dean Smith Hicks Nurse Practitioner 75 Genesee St, Ste 2, Auburn, NY 13021-3644 2011-07-19
1982897484 Kelly R Hicks Clinical Nurse Specialist 3333 Burnet Ave., International Adoption Center, Ml 7036, Cincinnati, OH 45229-3039 2007-08-20

Office Location

Street Address 1315 YORK AVE FL 2
BOX 172
City NEW YORK
State NY
Zip Code 10021-5304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639258908 Karen Ann Keaney Nurse Practitioner 1315 York Ave Fl 2, New York, NY 10021-5304 2006-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720609175 Haneen Qadourah Student in an Organized Health Care Education/Training Program Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 2020-04-27
1114547080 Mohd Omair Jamil Pharmacist 530 East 74th Street, 10281, New York, NY 10021 2020-04-21
1750915062 Radoslav Jovanovic, Md and Kevin Jovanovic, Md Obstetrics & Gynecology 930 Fifth Avenue, Suite 3, New York, NY 10021 2020-02-25
1750915344 Stacyann S Foster Nurse Practitioner 1305 York Avenue 2nd Floor, New York, NY 10021 2020-02-24
1477184547 John Schipano Pharmacist Zitomer, 969 Madison Ave, New York, NY 10021 2020-01-28
1932741253 Memorial Sloan Kettering Cancer Center Pharmacy 530 East 74 Street, Room 1101, New York, NY 10021 2019-10-09
1922656875 Kouros Emami Clinical Neuropsychologist 525 East 71st St., 5th Floor, New York, NY 10021 2019-09-03
1083262539 Uptown Surgical Services P.c Clinic/Center 111 East 71st Street, New York, NY 10021 2019-08-28
1316591209 Siddiqi Medical P.C. Internal Medicine Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 2019-07-29
1942763602 Alisha Bouzaher Student in an Organized Health Care Education/Training Program 439 East 71st, 1st Floor, New York, NY 10021 2019-04-10
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1972118206 Trisha Aloquina Nurse Practitioner 106 East 32nd St, 102, New York, NY 10016 2020-09-14
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1538779343 Molly Smith Nurse Practitioner 161 Fort Washington, Herbert Irving Pavilion, New York, NY 10032-1003 2020-08-06
1871101360 Elke Kraus Nurse Practitioner 105 E 122nd St Apt 4e, New York, NY 10035-2821 2020-07-21
1942825138 Barbara Cohen Np LLC Nurse Practitioner 16 W 16th St Apt 7ps, New York, NY 10011-6335 2020-06-12
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Competitor

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City NEW YORK
Zip Code 10021

Improve Information

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Dataset Information

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.

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