KECIA HICKS (NPI# 1457959066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457959066 |
| Entity Type | Individual |
| Full Name | KECIA HICKS |
| Credential | APRN, PMHNP-BC |
| Practice Address |
691 Institution Rd Defuniak Springs FL 32433-1850 |
| Mailing Address |
2751 Us Highway 90 E Defuniak Springs FL 32433-5633 |
| Practice Telephone | 8509516522 |
| Mailing Telephone | 8503333132 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11009530 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
691 INSTITUTION RD |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32433-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072960 | Alexander Neiman | Internal Medicine | 1031 Us Hwy 90 W, Ste 1 & 2, Defuniak Springs, FL 32433 | 2006-10-26 |
| 1447359401 | Wal-mart Stores East, Lp | Technician/Technologist | 1226 Freeport Road, Defuniak Springs, FL 32433 | 2006-09-22 |
| 1275595738 | Mash Inc | Durable Medical Equipment & Medical Supplies | 379 E Nelson Ave, Defuniak Springs, FL 32433 | 2006-04-03 |
| 1992764005 | Shirley Dianne Guillory | Registered Nurse | 475 State Highway 83, Defuniak Springs, FL 32433 | 2006-03-20 |
| 1154391027 | Arjen L Van De Voorde | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433 | 2006-01-24 |
| 1629062351 | Robert King Persons | Family Medicine | Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 | 2005-09-08 |
| 1477030708 | Ashley Fleming | Pharmacist | 1226 Freeport Road, De Funiak Springs, FL 32433 | 2018-07-19 |
| 1710226865 | Genevieve Powell | Doula | 1810 Sandy Ramp Rd, Defuniak Springs, FL 32433-0066 | 2013-02-10 |
| 1720284649 | Patricia A Ferman | Dietitian, Registered | 72 Happy Ln, Defuniak Springs, FL 32433-0514 | 2007-06-26 |
| 1710066576 | Vicky E Dantzler | Registered Nurse | 324 Ralph Long Rd, Defuniak Springs, FL 32433-0830 | 2006-11-03 |
| Find all providers in zip 32433 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862862 | Joshua Waddell | Nurse Practitioner | 3686 Us Highway 331 S, Defuniak Springs, FL 32435-8463 | 2016-10-17 |
| 1063756211 | Willard Marvin Anderson IIi | Nurse Practitioner | 3686 Us Highway 331 S, Defuniak Springs, FL 32435-8463 | 2012-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| 1538775366 | Rebecca Marie Deroche | Nurse Practitioner | 10810 Mcgregor Blvd, Fort Myers, FL 33919-1846 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32433 |
Please comment or provide details below to improve the information on KECIA 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.