MS. TRACY LYNN HICKMAN (NPI# 1457626210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457626210 |
| Entity Type | Individual |
| Full Name | MS. TRACY LYNN HICKMAN |
| Credential | CST, CSFA |
| Practice Address |
1717 W Woolbright Rd Boynton Beach FL 33426-6319 |
| Mailing Address |
1511 Lee Ct Lake Worth FL 33461-6126 |
| Practice Telephone | 5617378031 |
| Mailing Telephone | 5613798372 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
107076 | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851611404 | Tracy Elaine Hickman | Counselor | 5820 E Wt Harris Blvd, Suite 211, Charlotte, NC 28215-3541 | 2010-06-06 |
| Street Address |
1717 W WOOLBRIGHT RD |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861455529 | Randy Steven Katz | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-04-11 |
| 1780868901 | Jason John Gorscak | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2007-12-24 |
| 1104971423 | Florida Eye Microsurgical Institute Inc | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2007-01-25 |
| 1851457444 | Jonathan Scott Criss | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-12-28 |
| 1336201359 | Lee Scott Friedman | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-12-15 |
| 1487716494 | Barry Alan Schechter | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-12-15 |
| 1578625570 | Jonathan Chua | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-12-15 |
| 1861550246 | Boynton Beach Asc, LLC | Clinic/Center | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194470 | Karl Henry Dormevil | Specialist/Technologist, Other | 3315 Grove Rd, Boynton Beach, FL 33435-1664 | 2019-10-01 |
| 1114372596 | Jimmy Dorival | Specialist/Technologist, Other | 7998 Tangelo Dr, Boynton Beach, FL 33436-1602 | 2016-05-04 |
| 1407160948 | Michael Bryan Shulman | Specialist/Technologist, Other | 1035 Gateway Blvd, Suite 201-172, Boynton Beach, FL 33426-8349 | 2010-07-27 |
| 1114287232 | Yoracxis Durand | Specialist/Technologist, Other | 1325 S Congress Ave, Suite101, Boynton Beach, FL 33426-5876 | 2012-05-22 |
| 1932478534 | Northstar Surgical Assisting, Inc | Specialist/Technologist, Other | 1035 Gateway Blvd, Suite 201-172, Boynton Beach, FL 33426-8349 | 2011-12-28 |
| 1639352800 | Gladys Gricel Claxton | Specialist/Technologist, Other | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7934 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275349 | Ydalina Inmaculada Coste Jimenez | Specialist/Technologist, Other | 6817 College Ct Apt 103, Davie, FL 33317-7169 | 2020-11-07 |
| 1508467374 | Anthony Arias Bravo | Specialist/Technologist, Other | 2380 Fairmont Ave, Miramar, FL 33025-3818 | 2020-11-06 |
| 1831798206 | Yanosit Garcia | Specialist/Technologist, Other | 7945 W 31st Ct, Hialeah, FL 33018-3852 | 2020-10-18 |
| 1043819485 | Vivian Martin | Specialist/Technologist, Other | 3401 Sw 10th St Apt 4, Miami, FL 33135-4431 | 2020-10-17 |
| 1891394243 | Tami Coromoto Fort | Specialist/Technologist, Other | 3433 Garden Ave Apt 4, Miami Beach, FL 33140-3847 | 2020-10-17 |
| 1144829581 | Diana Carolina Villalba Pena | Specialist/Technologist, Other | 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 | 2020-10-17 |
| 1871192211 | Luis Enrique Perez Sanchez | Specialist/Technologist, Other | 15411 Sw 77th Circle Ln Apt 205, Miami, FL 33193-1823 | 2020-10-17 |
| 1598376493 | Melissa Croskey | Specialist/Technologist, Other | 7271 Bucks Ford Dr, Riverview, FL 33578-8379 | 2020-08-13 |
| 1114545498 | Genesis Navas | Specialist/Technologist, Other | 1330 Coral Way Ste 306, Miami, FL 33145-2945 | 2020-07-13 |
| 1629696786 | Indhira Y Pena | Specialist/Technologist, Other | 20 Commodore Dr Apt 114, Plantation, FL 33325-2676 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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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.