SHANNON MARIE HICKS


Address: 1109 Randolph St, Traverse City, MI 49684-2122
Phone: 9703096624

SHANNON MARIE HICKS (NPI# 1871143685) 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) 1871143685
Entity Type Individual
Full Name SHANNON MARIE HICKS
Credential FNP-C
Practice Address 1109 Randolph St
Traverse City
MI 49684-2122
Mailing Address 1105 Sixth St
Traverse City
MI 49684-2345
Practice Telephone 9703096624
Mailing Telephone 2313920388
Enumeration Date 2019-09-13
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704284540 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
550 Munson Ave, Traverse City, MI 496863580 2319358686 2319358708

Other Providers SHANNON HICKS

NPI Name Taxonomy Address Enumeration
1417295320 Shannon Hicks Counselor 7136 Gettysburg Pike, Fort Wayne, IN 46804-5680 2013-01-28
1104144286 Shannon Ashley Hicks Social Worker 45 Willow Street, Springfield, MA 01103 2010-05-13
1104944883 Shannon Camp Hicks Counselor 1202 N Stateline, Texarkana, AR 71854-4969 2007-03-27
1154460038 Shannon Hicks Speech-Language Pathologist 10121 Comanche Rd Ne, Mitchell Es, Albuquerque, NM 87111-3614 2007-02-06
1790136901 Shannon T. Hicks Pediatrics 846 Lake Howell Rd, Maitland, FL 32751-5222 2016-06-29
1700131414 Shannon Miller Hicks Physical Therapist 6041 Garners Ferry Rd, Suite B, Columbia, SC 29209-1304 2012-07-18
1679835375 Shannon Lynn Hicks Case Manager/Care Coordinator 721 Highway 46 S, Dickson, TN 37055-2565 2012-06-09
1366691917 Shannon Kathleen Hicks Dentist 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 2008-09-18
1659558005 Shannon Troy Hicks Recreation Therapist 1030 Jefferson Ave, Memphis, TN 38104-2127 2008-01-29
1275637613 Shannon Ann Hicks Counselor 2750 S 8th St, Beaumont, TX 77701-7719 2006-09-07

Office Location

Street Address 1109 RANDOLPH ST
City TRAVERSE CITY
State MI
Zip Code 49684-2122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124641758 Karen Anne Paulosky Registered Nurse 226 S Madison St, Traverse City, MI 49684 2020-05-18
1891314795 Jaclyn Elizabeth Sylvain Student in an Organized Health Care Education/Training Program Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 2020-04-10
1285282988 Madelyn Drumm Dietitian, Registered 217 S. Madison St., Suite 3022, Traverse City, MI 49684 2019-08-27
1265917686 Kacie Danielle Heading Social Worker 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 2018-10-02
1881178325 Jacob White Ph.d., Pllc Psychologist 3537 W. Front Street, Suite F, Traverse City, MI 49684 2018-09-20
1144702572 Constance Baab, Phd, Lmsw, Pllc Social Worker 3301 Veterans Drive Suite 127, Traverse City, MI 49684 2018-09-01
1346732880 The Skin Cancer and Dermatology Center Plc Dermatology 1225 W Front St Ste 2, Traverse City, MI 49684 2018-05-31
1790283851 Lisa Louise Kleyps Massage Therapist 3337 W. South Airport Road #2, Traverse City, MI 49684 2018-01-24
1114447646 Brittany Alexandra Prior Physical Therapist 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 2017-06-26
1568902963 Jennifer Scott Behavior Technician 515 W 14th St Unit D, Traverse City, MI 49684 2017-03-03
Find all providers in zip 49684

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780026849 Jennifer Ann Marsh Nurse Practitioner 1221 Sixth St. Suite 300, Traverse City, MI 49684-2287 2013-07-17
1962597765 Karen M Wagner Nurse Practitioner 5024 N Royal Drive, Traverse City, MI 49684 2006-10-04
1336258953 Catherine Dilts Carter Nurse Practitioner 5024 N Royal Dr., Traverse City, MI 49684-9230 2006-08-29
1427068790 Sue Ellen Dunham Nurse Practitioner 4020 Copper Vw Ste 104, Traverse City, MI 49684 2006-08-09
1366461121 Mary Kay Williams Nurse Practitioner 1221 Sixth St Ste 306, Traverse City, MI 49684-2361 2006-07-19
1285690198 Jeanette A Kalupa Nurse Practitioner 1014 Sixth St, Suite 103, Traverse City, MI 49684-2381 2006-04-21
1821604604 Kyrstin Rachael Sedlacek Nurse Practitioner 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 2020-09-17
1457913337 Hannah M Popa Nurse Practitioner 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 2019-07-01
1669935003 Lavinia Sinziana Streza Nurse Practitioner 1105 6th St, Traverse City, MI 49684-2345 2019-04-11
1861957037 Michael Adam Gold Nurse Practitioner 2950 Lafranier Rd, Traverse City, MI 49686-4918 2019-02-01
Find all providers in TRAVERSE CITY

Competitor

Search similar providers

City TRAVERSE CITY
Zip Code 49684

Improve Information

Please comment or provide details below to improve the information on SHANNON MARIE HICKS.

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.

Trending Searches