RENEE B HICKSON (NPI# 1356300776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356300776 |
| Entity Type | Individual |
| Full Name | RENEE B HICKSON |
| Credential | MD |
| Practice Address |
1004 Surrey St Lafayette LA 70501 |
| Mailing Address |
806 Jefferson Ter New Iberia LA 70560-5727 |
| Practice Telephone | 3374566768 |
| Mailing Telephone | 3373654945 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.022772 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1493040 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1002 12th St, Lafayette, LA 705016224 | 3375340107 | |
| 1009 Charity St, Abbeville, LA 705105302 | 3378933443 | |
| 1050 N Robinson St, Many, LA 714493536 | 3182568150 | |
| 298 Nolan Trace Pkwy, Leesville, LA 71446 | 3373920110 | |
| 317 Dernier St, Saint Martinville, LA 705823809 | 3373422566 | |
| 5630 Read Blvd, New Orleans, LA 701273106 | 5044822080 | 5042485377 |
| 567 Walker St, Merryville, LA 706533040 | 3378251728 | |
| 806 Jefferson Ter, New Iberia, LA 705605727 | 3373654945 |
| Street Address |
1004 SURREY ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568874998 | Kimberly C Allen | Nurse Practitioner | 1004 Surrey St, Lafayette, LA 70501-6143 | 2014-05-20 |
| 1437594181 | Mary S Gathe | Social Worker | 1004 Surrey St, Lafayette, LA 70501-6143 | 2013-05-08 |
| 1568731602 | Iberia Comprehensve Community Health Center,inc. | Clinic/Center | 1004 Surrey St, Lafayette, LA 70501-6143 | 2011-12-19 |
| 1851539258 | Rohini S Vicknair | Physician Assistant | 1004 Surrey St, Lafayette, LA 70501 | 2009-01-23 |
| 1891982419 | Harold Mark Borel | Dentist | 1004 Surrey St, Lafayette, LA 70501-6143 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1013471259 | Courtney Cobb | Family Medicine | 500 Juliette Pl, Lafayette, LA 70506-4571 | 2019-01-22 |
| 1538672993 | Pamela Rene Roeder | Family Medicine | 8196 N 1000 E, Lafayette, IN 47905-9742 | 2017-11-08 |
| 1790297935 | Diamond Medical Group | Family Medicine | 830 Park East Blvd, Lafayette, IN 47905-0778 | 2017-10-27 |
| 1780114074 | Mimi Nguyen | Family Medicine | 4212 W Congress St Ste 1600, Lafayette, LA 70506-6767 | 2017-06-19 |
| 1679922249 | Lafayette Health Ventures, Inc | Family Medicine | 917 W Gloria Switch Road, Lafayette, LA 70507-2309 | 2016-06-06 |
| 1003278854 | Rebecca Lynn Currier Curran | Family Medicine | 2932 Ambassador Caffery Parkway, Lafayette, LA 70506 | 2016-03-22 |
| 1871989244 | Justin Matthew Pratt | Family Medicine | 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506 | 2015-04-12 |
| 1558761973 | A. Elaine Ashby, M.d., Inc. | Family Medicine | 3732 Mt Diablo Blvd Ste 385, Lafayette, CA 94549-3625 | 2014-09-04 |
| Find all providers in LAFAYETTE | ||||
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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.