MARTHA MICHELLE HICKS (NPI# 1932448321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932448321 |
Entity Type | Individual |
Full Name | MARTHA MICHELLE HICKS |
Other Name | MARTHA MURPHY, MCNEIL |
Credential | ARNP |
Practice Address |
1833 Boulevard Ufjp - Chfm - Shands Total Care Clinic Jacksonville FL 32206-4382 |
Mailing Address |
Po Box 44008 Ufjp - Provider Enrollment Jacksonville FL 32231-4008 |
Practice Telephone | 9043831040 |
Practice Fax Number | 9042448952 |
Mailing Telephone | 9042443199 |
Mailing Fax Number | 9042443425 |
Enumeration Date | 2013-02-06 |
Last Update Date | 2016-05-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9237030 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 008279100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710069984 | Martha Hicks | Physical Medicine & Rehabilitation | 1176 Riddlewood Ln, Highlands Ranch, CO 80129-6990 | 2006-10-19 |
Street Address |
1833 BOULEVARD UFJP - CHFM - SHANDS TOTAL CARE CLINIC |
City | JACKSONVILLE |
State | FL |
Zip Code | 32206-4382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740289180 | Siddiqa K Khan | Family Medicine | 1833 Boulevard, Va Outpatient Clinic, Jacksonville, FL 32206-4382 | 2005-07-19 |
1306322656 | Johnnie Bradley-goodman | Nurse Practitioner | 1833 Boulevard, Jacksonville, FL 32206 | 2018-07-18 |
1538541321 | Daniel Kwamena Korsah | Nurse Practitioner | 1833 Boulevard, 5th Floor, Jacksonville, FL 32206-4382 | 2015-06-29 |
1902296080 | Byron Melvin Johnson | Nurse Practitioner | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2015-01-28 |
1447524012 | Tracie Claudice Rutledge | Nurse Practitioner | 1833 Boulevard, Ufjax - Total Care Clinic, Jacksonville, FL 32206-4382 | 2012-02-29 |
1649543232 | Monica Lynn Monahan | Psychologist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2012-02-14 |
1932436169 | Lionel Staplefoote | Case Manager/Care Coordinator | 1833 Boulevard, Suite 500, Jacksonville, FL 32206-4382 | 2009-11-09 |
1770810251 | Christina Adkins Shotwell | Psychologist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2009-11-04 |
1245564327 | Maria Antoun | Pharmacist | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2009-09-23 |
1932330016 | Denise A Daniels | Counselor | 1833 Boulevard, Suite 500, Jacksonville, FL 32206-4382 | 2009-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
Find all providers in zip 32206 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32206 |
Please comment or provide details below to improve the information on MARTHA MICHELLE HICKS.
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.