MARY LOU HICKS (NPI# 1831113711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831113711 |
| Entity Type | Individual |
| Full Name | MARY LOU HICKS |
| Credential | NP |
| Practice Address |
4951 Arroyo Rd Livermore CA 94550-9650 |
| Practice Telephone | 9253734700 |
| Practice Fax Number | 9254496525 |
| Mailing Telephone | 9253734700 |
| Mailing Fax Number | 9254496525 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 186774 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4951 ARROYO RD |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-9650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379657 | Loretta Margaret Obrien | Internal Medicine | 4951 Arroyo Rd, Livermore Division, General Medical Clinic, Livermore, CA 94550-9650 | 2005-10-13 |
| 1760095590 | Nawsheen S Zarar | Pharmacist | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2020-08-31 |
| 1306468251 | Nafisa Kakar | Recreation Therapist | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2020-05-14 |
| 1295298222 | Arielle Shaida Camara | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2019-04-08 |
| 1629534185 | Ryan James Barrett | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2019-02-20 |
| 1720504525 | Lucia Minerva Ramos | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2017-08-14 |
| 1588100234 | Rubylee Redbrook-robinson | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2017-01-18 |
| 1982156543 | Sheila Vivian | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2016-10-31 |
| 1124577754 | Khanh Ho Vuong | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550 | 2016-09-23 |
| 1699146118 | Eveline Gonzalez | Social Worker | 4951 Arroyo Rd, Livermore, CA 94550-9650 | 2015-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1487290789 | Brittany Rae Rollins Hoang | Nurse Practitioner | 801 Challenger St, Livermore, CA 94551-9536 | 2019-11-21 |
| 1194261321 | Maruska Sanchez | Nurse Practitioner | 5348 Treeflower Dr, Livermore, CA 94551-6905 | 2017-01-11 |
| 1356689871 | Andrea Pedersen | Nurse Practitioner | 822 S M St, Livermore, CA 94550-4409 | 2013-01-17 |
| 1205018744 | Rebecca Lynne Macisaac | Nurse Practitioner | 7011 East Ave, Building 925, Ms 9112, Livermore, CA 95440 | 2007-11-27 |
| 1891898102 | Suzanne Silva | Nurse Practitioner | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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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.