AHILYA DESHPANDE HICKCOX (NPI# 1376164897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164897 |
| Entity Type | Individual |
| Full Name | AHILYA DESHPANDE HICKCOX |
| Credential | AGNP-C |
| Practice Address |
671 Vandalia St Saint Paul MN 55114-1312 |
| Mailing Address |
9878 Lee Dr Eden Prairie MN 55347-4800 |
| Practice Telephone | 5178962719 |
| Mailing Telephone | 5178962719 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7321 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AG07190013 | 01 |
| Street Address |
671 VANDALIA ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412478 | Marcy Benzer Thomas | Obstetrics & Gynecology | 671 Vandalia St, Saint Paul, MN 55114 | 2006-03-24 |
| 1780297218 | Kellie Jean Rusch | Registered Nurse | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2020-08-25 |
| 1710596028 | Paula Goldade | Advanced Practice Midwife | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2020-07-23 |
| 1710504865 | Denae Ellson | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2020-07-05 |
| 1881234003 | Myra Colakovic | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2020-01-15 |
| 1639717333 | Aminat Funmilayo Adedayo | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-12-13 |
| 1164060034 | Ashley Elizabeth Sinniah | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-12-11 |
| 1821630658 | Madalyn Marie Carlin | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-10-14 |
| 1164071288 | Chala Massinople | Advanced Practice Midwife | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-09-11 |
| 1902450216 | Hanna Claire Middlebrook | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039378 | Samantha Dion Richardson | Nurse Practitioner | 3225 Dogwood Dr, Saint Paul, VA 24283-2543 | 2020-07-02 |
| 1033547708 | Jane Monita | Nurse Practitioner | 225 Smith Ave N Ste 200, Saint Paul, MN 55102-2697 | 2013-10-16 |
| 1851541239 | Emily A. Wolfe | Nurse Practitioner | 640 Jackson St - Mc 11108b, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101-2502 | 2008-09-23 |
| 1629264668 | Chris-ann Lauria | Nurse Practitioner | 1145 Homer St, Saint Paul, MN 55116-3231 | 2007-09-24 |
| 1871790956 | Susan M Knier | Nurse Practitioner | 178 9th St E, Saint Paul, MN 55101 | 2007-07-02 |
| 1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
| 1063517100 | Samuel Yaw Boadu | Nurse Practitioner | 409 North Dunlap Street, Open Cities Health Center, Saint Paul, MN 55104-4201 | 2006-09-13 |
| 1205843307 | Jean Marie Kummer Iv | Nurse Practitioner | 4831 Richard Ln, Saint Paul, MN 55122-2784 | 2006-08-02 |
| 1568489037 | Anna Mergit Novak | Nurse Practitioner | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2006-07-17 |
| 1144287251 | Diane M Budnick | Nurse Practitioner | 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 | 2006-05-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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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.