JENNIFER SUE HICKMAN (NPI# 1417485962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417485962 |
| Entity Type | Individual |
| Full Name | JENNIFER SUE HICKMAN |
| Other Name | JENNIFER SUE SIEMENS |
| Credential | RN, BSN |
| Practice Address |
30 Ne Mlk Blvd Portland OR 97232-2941 |
| Mailing Address |
30 Ne Martin Luther King Jr Blvd Portland OR 97232-2941 |
| Practice Telephone | 5032321099 |
| Practice Fax Number | 5032323854 |
| Mailing Telephone | 5032321099 |
| Mailing Fax Number | 5032323854 |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 200741420RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486131 | Jennifer Jones Hickman | Chiropractor | 145 Dunes Dr, Kings Mountain, NC 28086-9400 | 2019-03-19 |
| 1881739779 | Jennifer A Hickman | Specialist | 7737 Southwest Fwy Ste 350, Houston, TX 77074-1804 | 2007-02-20 |
| 1083162135 | Jennifer P Hickman | Nurse Practitioner | 8787 Bryan Dairy Rd Ste 360, Largo, FL 33777-1260 | 2016-09-19 |
| 1922424415 | Jennifer Hickman | Nurse Practitioner | 3634 Rogero Rd, Jacksonville, FL 32277-2556 | 2014-03-09 |
| 1952541971 | Jennifer Lynn Hickman | Physician Assistant | 427 S Bernard St, Spokane, WA 99204-2509 | 2009-03-03 |
| 1063697381 | Jennifer Hickman | Acupuncturist | 29 Broad St, Ste 202b, Berlin, MD 21811-1052 | 2008-01-05 |
| 1467581504 | Jennifer M Hickman | Obstetrics & Gynecology | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8100 | 2007-03-05 |
| 1124163589 | Jennifer Diane Hickman | Physical Therapist | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-02-21 |
| 1043399967 | Jennifer Ann Hickman | Anesthesiology | 611 W. Park St., Urbana, IL 61801-2500 | 2006-11-02 |
| Street Address |
30 NE MLK BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982016382 | Andrew M Given | Registered Nurse | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2014-05-20 |
| 1568086189 | Tammy Lou Bell | Peer Specialist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-29 |
| 1639792229 | Megan Robinson | Specialist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-19 |
| 1013530609 | Tyler William Hernandez Kadell | Case Manager/Care Coordinator | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-18 |
| 1952923047 | Janelle Eileen Bello | Peer Specialist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-12 |
| 1639791817 | Michael James De Hart | Peer Specialist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-11 |
| 1760004949 | Rebekka Kruse | Peer Specialist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2020-05-11 |
| 1316503485 | Melissa L Thomas | Art Therapist | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2019-05-14 |
| 1285129627 | Rachel Leigh Marie Johnson | Registered Nurse | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2018-06-28 |
| 1912406448 | Miho Lucille Walker | Registered Nurse | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2018-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1295332567 | Kara Lynn Liechty | Registered Nurse | 11003 Sw 30th Pl, Portland, OR 97219-2588 | 2020-10-08 |
| 1194331942 | Grace Duncan | Registered Nurse | 1200 Nw Marshall St Ste 1102, Portland, OR 97209-3177 | 2020-09-17 |
| 1790390151 | Megan M Goodman | Registered Nurse | 4262 N Vancouver Ave Apt 221, Portland, OR 97217-2995 | 2020-09-12 |
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1104441153 | Keri Swanson | Registered Nurse | 617 Nw 112th Ave, Portland, OR 97229-6118 | 2020-06-15 |
| 1710508635 | Jana Kaye Witherspoon | Registered Nurse | 306 Broadway Blvd, Portland, TX 78374-1301 | 2020-05-01 |
| 1639798655 | Natalie Shaki Assayas | Registered Nurse | 3705 N Overlook Blvd Apt 310, Portland, OR 97227-2036 | 2020-04-09 |
| 1275169229 | Alisa Y Newhall | Registered Nurse | 8303 N Dwight Ave, Portland, OR 97203-3514 | 2020-03-20 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| Find all providers in PORTLAND | ||||
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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.