BRANDI HICKS (NPI# 1508361874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508361874 |
| Entity Type | Individual |
| Full Name | BRANDI HICKS |
| Credential | FSP |
| Practice Address |
2502 Crossroads Dr Ardmore OK 73401-2503 |
| Practice Telephone | 5802265209 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1942497797 | Brandi Hicks | Radiology | 1 Jarrett White Rd, Tamc, Tripler Army Medical Center, HI 96859-5001 | 2007-09-25 |
| Street Address |
2502 CROSSROADS DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619182912 | Kristi Crutchfield Cox | Counselor | 2502 Crossroads Dr, Ardmore, OK 73401-2503 | 2007-05-11 |
| 1043713027 | Kathy Hawkins | Registered Nurse | 2502 Crossroads Dr, Ardmore, OK 73401-2503 | 2018-03-15 |
| 1437431707 | Christopher Woods | Behavioral Analyst | 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 | 2011-09-13 |
| 1043590011 | Daquon C Anderson | Behavioral Analyst | 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 | 2011-08-23 |
| 1699061044 | Kenna R Owens | Counselor | 2502 Crossroads Dr, Ardmore, OK 73401-2503 | 2011-06-23 |
| 1508150350 | Polly Wilson | Counselor | 2502 Crossroads Dr, B, Ardmore, OK 73401-2503 | 2011-06-08 |
| 1679867311 | Leland D Jones | Behavioral Analyst | 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 | 2011-05-28 |
| 1386936136 | Jason E Clements | Behavioral Analyst | 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 | 2011-05-12 |
| 1013209857 | Ronald G Morris Jr. | Behavioral Analyst | 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 | 2011-05-12 |
| 1316248719 | Annette Anderson | Behavioral Analyst | 2502 Crossroads Dr, B, Ardmore, OK 73401-2503 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215594486 | Tammey Lee Cooper | Case Manager/Care Coordinator | 98 Broadlawn Shopping Ctr, Ardmore, OK 73401-1723 | 2019-05-23 |
| 1801459243 | Z Hubbard | Case Manager/Care Coordinator | 1219 K St Nw Ste 2, Ardmore, OK 73401-1801 | 2019-04-22 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1356722094 | Fran Growall | Case Manager/Care Coordinator | 3367 Plainview Rd, Ardmore, OK 73401-0714 | 2015-06-17 |
| 1730570094 | Ashley Nicole Avery | Case Manager/Care Coordinator | 1310 Summer Rd, Ardmore, OK 73401-8352 | 2015-02-09 |
| 1316351505 | Cassie Ramsey | Case Manager/Care Coordinator | 110 Ruidosa St, Ardmore, OK 73401-7231 | 2014-06-16 |
| 1831519339 | Brandii Houchin | Case Manager/Care Coordinator | 114 Allen Dr, Ardmore, OK 73401-2008 | 2014-04-23 |
| 1225459506 | Audra M Gordon | Case Manager/Care Coordinator | 511 Lake Murray Drive E., Ardmore, OK 73401 | 2014-01-03 |
| 1578809570 | Glenda Brown | Case Manager/Care Coordinator | 1301 Kiowa Nw, Ardmore, OK 73401 | 2012-12-19 |
| 1912236852 | Zona Whitewater | Case Manager/Care Coordinator | 2530 So. Commerce, Bldg. B, Ardmore, OK 73402 | 2009-12-23 |
| Find all providers in ARDMORE | ||||
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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.