MICHELLE L HICKS (NPI# 1508973991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508973991 |
| Entity Type | Individual |
| Full Name | MICHELLE L HICKS |
| Credential | NP |
| Practice Address |
600 N Robbins Rd Suite 100 Boise ID 83702-4566 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083830201 |
| Practice Fax Number | 2084894300 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6541979-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-641A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| 1730572520 | Michelle Hicks | Occupational Therapist | 515 Sugar Maple Dr, Windber, PA 15963-2246 | 2015-03-18 |
| 1689813628 | Michelle Hicks | Emergency Medicine | 5665 New Northside Dr, Suite #320, Atlanta, GA 30328-5834 | 2009-02-16 |
| 1922252626 | Michelle J Hicks | Massage Therapist | 1818 Proper St, Corinth, MS 38834-5134 | 2008-11-06 |
| 1326531104 | Michelle Hicks | Physical Therapist | 4230 Crums Mill Rd Ste 201, Harrisburg, PA 17112 | 2018-06-07 |
| 1003232273 | Michelle Coleen Hicks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107 | 2014-03-12 |
| 1912147943 | Michelle L Hicks | Nurse Practitioner | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2009-03-04 |
| 1780821736 | Michelle Hicks | Licensed Practical Nurse | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2009-01-13 |
| 1275684490 | Michelle Hicks | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-15 |
| Street Address |
600 N ROBBINS RD SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508829516 | Wendy Rouse Rohin | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2006-04-10 |
| 1568082097 | Angela Colson | Recreation Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2020-04-24 |
| 1023658010 | Hannah Stevenson | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2020-01-08 |
| 1386290229 | Brandi Gustafson | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-08-15 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1164084950 | Stacey Aileen Sigmond | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1275193666 | Erica Watkins | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-06-18 |
| 1558856526 | Jennifer Forberg | Dietitian, Registered | 600 N Robbins Rd, Boise, ID 83702-4565 | 2018-06-22 |
| 1083105704 | Katherine Elizabeth Bostwick | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2018-05-29 |
| 1679087415 | Megan Doyle | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881017382 | Joniruth Digaum | Nurse Practitioner | 8040 S Red Cliff Ave, Boise, ID 83716-3466 | 2014-02-04 |
| 1790119238 | Illaria C Moore | Nurse Practitioner | 11050 Montana Ave, Boise, ID 83713-5049 | 2013-08-31 |
| 1851438006 | Gregory C Galloway | Nurse Practitioner | 5440 W Franklin Rd, Suite 100, Boise, ID 83705-1079 | 2007-01-30 |
| 1154436426 | Amy Hoffmann | Nurse Practitioner | 3210 N Mountain View Dr, Boise, ID 83704-4635 | 2006-08-20 |
| 1598774275 | Barbara L Irish | Nurse Practitioner | 1000 N Curtis Road, Suite 305, Boise, ID 83706 | 2006-08-05 |
| 1225020993 | April D Southwick | Nurse Practitioner | 703 S Americana Blvd, Ste 130, Boise, ID 83702-5099 | 2005-08-18 |
| 1316558596 | Jonathan Adar Shectman | Nurse Practitioner | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-12 |
| 1336762566 | Treasure Valley Healthcare Pllc | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2020-05-21 |
| 1902459266 | Melissa Adele Wren Perry | Nurse Practitioner | 300 S 23rd St, Boise, ID 83702-9100 | 2019-07-16 |
| 1144702796 | Michelle Ann Mcneley | Nurse Practitioner | 500 W Fort St, Boise, ID 83702-4599 | 2018-08-30 |
| Find all providers in BOISE | ||||
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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.