TINA MARIE HICKSON (NPI# 1043561665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043561665 |
| Entity Type | Individual |
| Full Name | TINA MARIE HICKSON |
| Credential | LMT |
| Practice Address |
5525 Twin Knolls Rd Suite 321 Columbia MD 21045-3266 |
| Mailing Address |
9080 Moonshine Holw Apt A Laurel MD 20723-1638 |
| Practice Telephone | 2404593044 |
| Mailing Telephone | 2404593044 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M04294 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5525 TWIN KNOLLS RD SUITE 321 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578504296 | Columbia Counseling Center P.a. | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2006-06-10 |
| 1952762635 | Neha Patel | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2016-03-09 |
| 1750720744 | Ida C Deliberis | Psychologist | 5525 Twin Knolls Rd, 327 and 329, Columbia, MD 21045-3266 | 2013-06-23 |
| 1750724282 | Monique Reynolds | Psychologist | 5525 Twin Knolls Rd, Suite 327 and 329, Columbia, MD 21045-3266 | 2013-04-15 |
| 1780932780 | Ann Elisabeth Kimball | Psychologist | 5525 Twin Knolls Rd, Ste. 327, Columbia, MD 21045-3266 | 2012-08-22 |
| 1235401092 | Virginia Zimmerman | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2012-02-08 |
| 1932404423 | John Joseph Coughlin IIi | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2011-01-14 |
| 1780994004 | Melanie Sholtis | Psychologist | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2010-10-20 |
| 1457684664 | Tanya Justyne Quille | Psychologist | 5525 Twin Knolls Rd, Columbia, MD 21045-3266 | 2009-09-08 |
| 1881820645 | Joan Harman Pittman | Social Worker | 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806932 | Kristen Ann Schiller | Massage Therapist | 43 Polkville Rd, Columbia, NJ 07832-2773 | 2020-09-23 |
| 1689287401 | Courtney Louallen | Massage Therapist | 9367 Two Notch Rd Ste A, Columbia, SC 29223-6450 | 2020-08-31 |
| 1699311092 | Sandra Ann Keeney | Massage Therapist | 3211 S Providence Rd Ste 105, Columbia, MO 65203-3645 | 2019-11-20 |
| 1821645714 | Falisha Mccoy | Massage Therapist | 1612 Marion St Ste 324, Columbia, SC 29201-2939 | 2019-08-24 |
| 1205498698 | Shevonda N Evans | Massage Therapist | 2 Office Park Ct Ste 102b, Columbia, SC 29223-5948 | 2019-07-05 |
| 1407410863 | Leonard Jarod Scott | Massage Therapist | 6941 N Trenholm Rd Ste 204, Columbia, SC 29206-1715 | 2019-04-30 |
| 1891250304 | Barbara Duggan | Massage Therapist | 2401 Bernadette Dr Ste 201, Columbia, MO 65203-4672 | 2019-02-08 |
| 1942785142 | April Michelle Morris | Massage Therapist | 6951 N Trenholm Rd Ste I, Columbia, SC 29206-1707 | 2018-10-03 |
| 1396250445 | Amanda Brannon | Massage Therapist | 3139 Luke Moser Rd, Columbia, TN 38401-8234 | 2017-12-12 |
| 1154835924 | Felicia Patrice Gaines | Massage Therapist | 6941 N Trenholm Rd Ste R2, Columbia, SC 29206-1728 | 2017-11-30 |
| Find all providers in COLUMBIA | ||||
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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.