MS. JACQUELINE RENEE BRICKER (NPI# 1093355067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093355067 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE RENEE BRICKER |
| Credential | APRN |
| Practice Address |
1401 Madison Ave Covington KY 41011-3313 |
| Mailing Address |
215 E. 11th St. Newport KY 41071 |
| Practice Telephone | 8596556100 |
| Mailing Telephone | 8596556100 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 00000000 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3015306 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY LICENSE | 3015306 | 01 |
| Street Address |
1401 MADISON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865932 | Denise Robinson | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2005-07-18 |
| 1457959900 | Katie Rocovich | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2020-10-15 |
| 1700484268 | Riley Pfeiffer | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2020-10-15 |
| 1912550526 | Justin Branham | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2019-07-23 |
| 1437642212 | Emily Huff | Dentist | 1401 Madison Ave, Covington, KY 41011-3313 | 2018-06-07 |
| 1407367493 | Melissa Aguilar | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2017-10-17 |
| 1720514789 | Starla Michelle Shearer | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2017-05-11 |
| 1487187027 | Jessica Foster Lear | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2017-04-11 |
| 1184168247 | Kimberly Gastenveld | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2016-12-08 |
| 1639613086 | Andrea Hilgeford | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2016-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040677 | Meredith Katelyn Kanet | Nurse Practitioner | 704 N High St, Covington, OH 45318-1420 | 2020-10-09 |
| 1144834284 | Yvona Butts | Nurse Practitioner | 2963 Fairview Rd, Covington, GA 30016-1125 | 2020-09-05 |
| 1417561002 | Tabria Colston | Nurse Practitioner | 9190 Gallitin Dr Sw, Covington, GA 30014-3034 | 2020-09-01 |
| 1336758622 | Amanda C Rembert | Nurse Practitioner | 2131 Stallings St Nw Unit 585, Covington, GA 30015-2420 | 2020-07-23 |
| 1063020428 | Melanie Marie Cox | Nurse Practitioner | 3792 Kraddle Creek Dr, Covington, GA 30014-7700 | 2020-07-21 |
| 1902437270 | Tina Duncan | Nurse Practitioner | 19405 Helenbirg Rd, Covington, LA 70433-5197 | 2020-01-27 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1942861018 | Trina C Guzan | Nurse Practitioner | 13130 Highway 1085 Ste 100, Covington, LA 70433-6835 | 2019-06-27 |
| 1255894523 | Stephanie Salathe Knapps | Nurse Practitioner | 19262 Township Rd, Covington, LA 70435-9243 | 2019-04-12 |
| 1548721707 | Kimberly Amedee | Nurse Practitioner | 310 Homestead Way, Covington, GA 30014-8299 | 2019-03-28 |
| Find all providers in COVINGTON | ||||
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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.