Miranda C Hickle (NPI# 1528317054, PAC ID# 2264683952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528317054 |
| PAC ID by PECOS | 2264683952 |
| Professional Enrollment ID | I20121105000668 |
| Full Name | Miranda C Hickle |
| Organization Legal Name | HEALTHSTAR PHYSICIANS, P.C. |
| Address |
657 E Broadway Blvd Suite D Jefferson City TN 37760-4949 |
| Phone Number | 8656473300 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890690978 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440056 | TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 | 8656473300 | HEALTHSTAR PHYSICIANS, P.C. |
| 420 W Morris Blvd, Morristown, TN 37813-2283 | 4235815925117 | HEALTHSTAR PHYSICIANS, P.C. |
| 5741 W Andrew Johnson Hwy, Morristown, TN 37814-1166 | 4235861717 | HEALTHSTAR PHYSICIANS, P.C. |
| Organization Legal Name | HEALTHSTAR PHYSICIANS, P.C. |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya N Hance | Nurse Practitioner | Healthstar Physicians, P.C. | 150 E Broadway, Newport, TN 37821-2329 |
| Sarah Dodson | Nurse Practitioner | Healthstar Physicians, P.C. | 2001 Laurel Ave Newland Professional Bldg, Suite 101, Knoxville, TN 37916-1866 |
| Samuel L Wood | Nurse Practitioner | Healthstar Physicians, P.C. | 1415 Old Weisgarber Rd, Suite 350, Knoxville, TN 37909-1327 |
| Kimberly Gebhart | Physician Assistant | Healthstar Physicians, P.C. | 2435 Jacksboro Pike, Suite 3, La Follette, TN 37766-2912 |
| Shawna Ball | Nurse Practitioner | Healthstar Physicians, P.C. | 407 4th St, Newport, TN 37821-3755 |
| Shalee O Nanney | Nurse Practitioner | Healthstar Physicians, P.C. | 1403 State St, White Pine, TN 37890-3175 |
| Danielle Davis | Nurse Practitioner | Healthstar Physicians, P.C. | 4138 Durham Lndg, Morristown, TN 37813-1006 |
| Olivia Michelle Guthrie | Physician Assistant | Healthstar Physicians, P.C. | 5741 W Andrew Johnson Hwy, Morristown, TN 37814-1166 |
| Lindsay E Henderson | Certified Clinical Nurse Specialist (cns) | Healthstar Physicians, P.C. | 994 W Hwy 25 70, Suite 4, Newport, TN 37821-9006 |
| Hina Kouser | Internal Medicine | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Street Address |
657 E BROADWAY BLVD SUITE D |
| City | JEFFERSON CITY |
| State | TN |
| Zip | 37760-4949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hina Kouser | Internal Medicine | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Mathew T Kraus | Internal Medicine | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Shannon P Hancock | Family Medicine | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Aqueel M Kouser | Rheumatology | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Patricia Annette Waddell | Nurse Practitioner | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Jennifer K Setser | Nurse Practitioner | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4906 |
| Mohammad I Hussain | Neurology | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Laura W Kraus | Pediatric Medicine | Healthstar Physicians, P.C. | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Kachelmyer | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Vita L Mayes | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Conrad L Brimhall | Dermatology | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Charles S Fulk | Dermatology | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Ann E Ayres | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Richard Jeffrey Munson | Psychologist, Clinical | 104 W Old Andrew Johnson Hwy, Suite B, Jefferson City, TN 37760-1949 | |
| William J Williams | Internal Medicine | 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041 | |
| Robert A Matijevich | Physical Therapy | 1405 S Sizer Ave, B, Jefferson City, TN 37760-2436 | |
| Dennis U Spjut | Psychologist, Clinical | 732 E Jefferson St, Jefferson City, TN 37760-2514 | |
| Annita J Rowland | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Find all physicians in zip 37760 | |||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JEFFERSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Miranda C Hickle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.