MR. JASON T HICKS (NPI# 1245403161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245403161 |
| Entity Type | Individual |
| Full Name | MR. JASON T HICKS |
| Credential | APRN, LCSW |
| Practice Address |
1 S Creek Dr Ste 102 Monticello KY 42633-9472 |
| Practice Telephone | 6063483365 |
| Practice Fax Number | 6063488496 |
| Mailing Telephone | 6063483365 |
| Mailing Fax Number | 6063488496 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2011 | KY | Behavioral Health & Social Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008758 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699958744 | Jason A Hicks | Pathology | 195 Inverness Dr W Ste 120, Englewood, CO 80112-5206 | 2007-12-12 |
| 1023034097 | Jason Hicks | Internal Medicine | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-07-14 |
| 1215931720 | Jason T Hicks | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2005-06-13 |
| 1255753216 | Jason A Hicks | Counselor | 349 Bogle St, Somerset, KY 42503-2895 | 2014-01-10 |
| 1609145879 | Jason A Hicks | Pharmacist | 1703 W Main St, Lebanon, TN 37087-3193 | 2011-12-17 |
| 1740595867 | Jason Larnce Hicks | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2010-08-12 |
| 1306885033 | Jason Hicks | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2006-06-06 |
| Street Address |
1 S CREEK DR STE 102 |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-9472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027438 | Mary Chambers | Pediatrics | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2005-07-19 |
| 1063992956 | Raymond Bennett Speck | Nurse Practitioner | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2018-08-20 |
| 1336494772 | Matthew T Eaton | Family Medicine | 1 S Creek Dr Ste 102, Monticello, KY 42633 | 2012-07-23 |
| 1104963305 | Phillips Pratt & Mcfarland Psc | Family Medicine | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2007-01-30 |
| 1609962083 | Sarah Leigh Weddle | Nurse Practitioner | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2006-10-05 |
| 1659327591 | Bonnie Cardona Stockton | Nurse Practitioner | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968406 | Sojnia Irene Johnson | Nurse Practitioner | 561 Country Oaks Ln, Monticello, KY 42633-5145 | 2020-09-24 |
| 1023622081 | Marty Kyle Ballard Sr. | Nurse Practitioner | 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 | 2020-09-06 |
| 1659918936 | Shelby Mcmickle | Nurse Practitioner | 170 Brixie Rd, Monticello, AR 71655-9096 | 2019-12-05 |
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1740757145 | Karla Marie Wallace | Nurse Practitioner | 314 Main St Ste B, Monticello, MS 39654-3702 | 2018-10-24 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1295196137 | Miranda Tompkins | Nurse Practitioner | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2016-03-18 |
| 1285065292 | Teresa Conerly | Nurse Practitioner | 430 W Broad St, Monticello, MS 39654-7723 | 2013-12-02 |
| 1487089546 | Doretha Bournes | Nurse Practitioner | 354 Cub Brown Rd, Monticello, MS 39654-7505 | 2013-09-09 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on MR. JASON T HICKS.
| 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.