MS. MARY JANE HICKS (NPI# 1205135597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205135597 |
| Entity Type | Individual |
| Full Name | MS. MARY JANE HICKS |
| Credential | LPN |
| Practice Address |
2506 Davidson Ave 5e Bronx NY 10468-4258 |
| Mailing Address |
2506 Davidson Ave Apt 5e Bronx NY 10468-4261 |
| Practice Telephone | 7182076559 |
| Practice Fax Number | 3478624371 |
| Mailing Telephone | 7182076559 |
| Mailing Fax Number | 3478624371 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 280078-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484254 | Mary Hicks | Registered Nurse | 135 Se County Road 3144, Corsicana, TX 75109-0689 | 2020-07-09 |
| 1699003236 | Mary Hicks | Pharmacist | 800 W Magnolia Ave Ste 130, Fort Worth, TX 76104-4611 | 2009-11-19 |
| 1114183647 | Mary A. Hicks | Nurse Practitioner | 13400 S. Pleasant Valley Rd., Imsi, Boise, ID 83707 | 2008-08-04 |
| 1821288978 | Mary Frances Hicks | Licensed Practical Nurse | 35 Clinton St, Batavia, NY 14020-2822 | 2007-07-25 |
| 1447463989 | Mary Lawrence Hicks | Nurse Practitioner | 995 Potrero Ave # 86, San Francisco, CA 94110-2859 | 2007-05-08 |
| 1447241229 | Mary Hicks | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202 | 2005-11-02 |
| 1811415474 | Mary Katherine Hicks | Nurse Practitioner | 1030 N Monroe St, Monroe, MI 48162-3113 | 2017-09-05 |
| 1841711462 | Mary Hicks | Counselor | 225 S Main St Ste B, Versailles, KY 40383-1582 | 2017-07-05 |
| 1023410214 | Mary Hicks | Social Worker | 36 Union St., Dryden, NY 13053-0088 | 2014-09-19 |
| 1386903789 | Mary C Hicks | Physical Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-05-07 |
| Street Address |
2506 DAVIDSON AVE 5E |
| City | BRONX |
| State | NY |
| Zip Code | 10468-4258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| 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 |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
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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.