LISA A HICKS (NPI# 1154961209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154961209 |
| Entity Type | Individual |
| Full Name | LISA A HICKS |
| Practice Address |
17177 N Laurel Park Dr Ste 417 Livonia MI 48152-3952 |
| Mailing Address |
23576 Clinton St Taylor MI 48180-4157 |
| Practice Telephone | 8884147056 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703120442 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | O435522029817 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992975544 | Lisa Renee Hicks | Licensed Practical Nurse | 306 N State St, Belle Center, OH 43310-9743 | 2008-03-10 |
| 1710163589 | Lisa A. Hicks | Physical Therapist | 4301 Colfax Ave, #306, Studio City, CA 91604-2836 | 2008-01-11 |
| 1861600470 | Lisa Lauraine Hicks | Social Worker | 125 E Dudley Ave, Westfield, NJ 07090-3137 | 2007-05-18 |
| 1518031384 | Lisa Hicks | Speech-Language Pathologist | 1313 Dunbar Avenue, Dunbar, WV 25064 | 2006-11-20 |
| 1609815042 | Lisa Beth Hicks | Nurse Anesthetist, Certified Registered | 7000 W Colfax Ave, Lakewood, CO 80214-5433 | 2006-06-04 |
| 1902874365 | Lisa Bock Hicks | Pharmacist | 8452 118 Avenue N., Largo, FL 33773 | 2006-03-10 |
| 1497021414 | Lisa M Hicks | Nurse Practitioner | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-03-23 |
| 1265604235 | Lisa Marie Hicks | Acupuncturist | 1916 Tamarack Rd, Newark, OH 43055-2303 | 2008-03-30 |
| 1578734513 | Lisa Marie Hicks | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2008-03-18 |
| 1245423987 | Lisa Moore Hicks | Physical Therapist | 4620 17th St, Sarasota, FL 34235-1843 | 2007-08-27 |
| Street Address |
17177 N LAUREL PARK DR STE 417 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998003 | Victoria Lynn Fairley-green | Occupational Therapy Assistant | 17177 N Laurel Park Dr Ste 417, Livonia, MI 48152-3952 | 2017-05-03 |
| 1033634134 | Michelle Lanore | Occupational Therapist | 17177 N Laurel Park Dr Ste 417, Livonia, MI 48152-3952 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443864 | Marcia Patricia Parker-morgan | Licensed Practical Nurse | 14955 Gary Ln, Livonia, MI 48154-5152 | 2018-04-03 |
| 1366993115 | Cornest Hornesbruger | Licensed Practical Nurse | 28000 W Chicago St, Livonia, MI 48150-3272 | 2016-10-17 |
| 1215381629 | Shannon Lee Breu | Licensed Practical Nurse | 22 Branch St, Livonia, NY 14487-9780 | 2016-04-21 |
| 1467821470 | Rashawn Newkirk | Licensed Practical Nurse | 37797 Arbor Woods Dr, Livonia, MI 48150-3486 | 2015-09-20 |
| 1326424912 | Olivia Wright | Licensed Practical Nurse | 29611 Nottingham Cir, Livonia, MI 48152-2131 | 2015-08-05 |
| 1275926479 | Kyle Gerould | Licensed Practical Nurse | 6758 Big Tree Rd, Livonia, NY 14487-9317 | 2015-03-12 |
| 1417348871 | Munjung Seo | Licensed Practical Nurse | 30844 Morlock St, Livonia, MI 48152-1656 | 2015-02-06 |
| 1437547163 | Kimberly Feenaughty | Licensed Practical Nurse | 502 Lake Glen Dr, Livonia, NY 14487-9660 | 2015-01-05 |
| 1346645470 | Anne Iwelunmor | Licensed Practical Nurse | 28850 Lancaster St Apt 32, Livonia, MI 48154-3835 | 2014-10-31 |
| 1104226125 | Erica Lindsay | Licensed Practical Nurse | 29599 Nottingham Cir, Livonia, MI 48152-1999 | 2014-08-27 |
| Find all providers in LIVONIA | ||||
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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.