CASSANDRA GIBBS HICKS (NPI# 1275798837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275798837 |
| Entity Type | Individual |
| Full Name | CASSANDRA GIBBS HICKS |
| Other Name | CASSANDRA GIBBS HICKS |
| Credential | ARNP NP-C |
| Practice Address |
1680 Se Lyngate Dr Fort Pierce FL 34952-4300 |
| Mailing Address |
1680 Se Lyngate Dr Port Saint Lucie FL 34952-4300 |
| Practice Telephone | 7723359808 |
| Practice Fax Number | 7723359818 |
| Mailing Telephone | 7723359808 |
| Mailing Fax Number | 7723359818 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9275760 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023458718 | Cassandra M Hicks | Social Worker | 2233 Rocky Ln, Ashland, OH 44805-4701 | 2013-06-27 |
| Street Address |
1680 SE LYNGATE DR |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34952-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903260 | Kristelle Alie Clemons | Nurse Practitioner | 1196 Country Gardens Ln, Fort Pierce, FL 34982-3327 | 2019-10-14 |
| 1386142446 | Advanced Medical Practice LLC | Nurse Practitioner | 100 S Cardinal Pl, Fort Pierce, FL 34945-3482 | 2018-01-24 |
| 1891201075 | Muracia Alliance | Nurse Practitioner | 850 S 21st St Ste B, Fort Pierce, FL 34950-4829 | 2017-12-25 |
| 1265989396 | Bridgette Schooley | Nurse Practitioner | 5300 Nw Dunn Rd, Fort Pierce, FL 34981-4943 | 2016-09-07 |
| 1821441536 | Joel Klepach | Nurse Practitioner | 2215 Nebraska Ave Ste 2-e, Fort Pierce, FL 34950-4866 | 2016-07-18 |
| 1447609896 | Guerdine J Mercy | Nurse Practitioner | 1801 S 23rd St Ste 7, Fort Pierce, FL 34950-4830 | 2016-06-07 |
| 1942664446 | Andriana Gates | Nurse Practitioner | 5105 Pinetree Dr, Fort Pierce, FL 34982-7483 | 2016-04-11 |
| 1003275157 | Kelli Kraaz | Nurse Practitioner | 3307 N Indian River Dr, Fort Pierce, FL 34946-8418 | 2016-02-17 |
| 1568804862 | Lisa Renee Cason | Nurse Practitioner | 13 Harbour Isle Dr W, West Ph2, Fort Pierce, FL 34949-2765 | 2013-07-27 |
| 1407296734 | Kim Cantello-baker | Nurse Practitioner | 1900 Nebraska Ave Ste 5, Fort Pierce, FL 34950-4837 | 2013-07-01 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on CASSANDRA GIBBS 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.