CAROLYN LUCINDA HICKS (NPI# 1538639224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538639224 |
Entity Type | Individual |
Full Name | CAROLYN LUCINDA HICKS |
Practice Address |
2486 Gillespie St Fayetteville NC 28306-3023 |
Mailing Address |
1687 Bladen Union Church Rd Fayetteville NC 28306-9428 |
Practice Telephone | 9105681183 |
Mailing Telephone | 9105681183 |
Enumeration Date | 2018-11-26 |
Last Update Date | 2018-11-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
Y | 251E00000X | Home Health | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
N | 253Z00000X | In Home Supportive Care | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649722638 | Carolyn Hicks | Registered Nurse | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2016-10-26 |
1003151275 | Carolyn L Hicks | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2012-11-29 |
1255372702 | Carolyn F. Hicks | Psychologist | 43 Center St, Suite 301, Northampton, MA 01060-3063 | 2006-06-08 |
Street Address |
2486 GILLESPIE ST |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28306-3023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
Find all providers in zip 28306 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
1538779350 | Beas Private Home Care | Home Health | 155 Handshaker Ct, Fayetteville, GA 30215-7404 | 2020-08-06 |
1205455367 | Felicia M Mcdonald | Home Health | 951 S Mcpherson Church Rd Ste 103b, Fayetteville, NC 28303-5383 | 2020-04-09 |
1487289518 | It-s About You, Inc | Home Health | 5425 Murchison Rd Ste A, Fayetteville, NC 28311-2251 | 2020-03-09 |
1629617691 | Our House Inc. | Home Health | 814 Hope Mills Rd Ste B, Fayetteville, NC 28304-2223 | 2019-12-23 |
1063050219 | Barbara King Home Agency Inc | Home Health | 108 Hay St Ste 216, Fayetteville, NC 28301-5686 | 2019-12-18 |
1427691500 | Pristine Care Group, LLC | Home Health | 1507 Grandview Drive, Fayetteville, NC 28314-1806 | 2019-10-22 |
1558911636 | Lila Huff | Home Health | 111 Lamon St Ste 114, Fayetteville, NC 28301-4917 | 2019-09-19 |
1043875321 | Nurturing Hearts Home Health Care Inc. | Home Health | 185 Seawright Dr, Fayetteville, GA 30215-5292 | 2019-05-02 |
1982184974 | Amelias Den Personal Care Home Inc | Home Health | 101 Devant St Ste 105, Fayetteville, GA 30214-2711 | 2018-08-19 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28306 |
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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.