CHERYL HICKS (NPI# 1588018188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588018188 |
| Entity Type | Individual |
| Full Name | CHERYL HICKS |
| Practice Address |
6 Ferrell Rd Rosiclare IL 62982 |
| Mailing Address |
6 Ferrell Rd Rosiclare IL 62982-1052 |
| Practice Telephone | 6182856634 |
| Mailing Telephone | 6182856634 |
| Mailing Fax Number | 6182852804 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014016 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548604119 | Cheryl L Hicks | Licensed Practical Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2013-04-25 |
| 1194937565 | Cheryl D Hicks | Counselor | 3003 South Loop W, Sutie 475, Houston, TX 77054-1301 | 2007-05-05 |
| 1811002181 | Cheryl Susan Hicks | Specialist | 1621 N Mills Ave, Orlando, FL 32803-1849 | 2006-08-20 |
| Street Address |
6 FERRELL RD |
| City | ROSICLARE |
| State | IL |
| Zip Code | 62982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085569 | Courtney G Spivey | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982-1052 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982992426 | Megan Leahy | Speech-Language Pathologist | 55 Ferrell Road, Rosiclare, IL 62982 | 2011-07-19 |
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1447441308 | Southern Illinois Oxygen, Inc | Durable Medical Equipment & Medical Supplies | Rr 146, Rosiclare, IL 62982 | 2007-08-06 |
| 1770705824 | Kandy Kaye Willis | Pharmacist | #6 Ferrell Road, Rosiclare, IL 62982 | 2007-05-02 |
| 1659405850 | Petersen Health Network, LLC | Nursing Facility/Intermediate Care Facility | 201 Spring Street, Rosiclare, IL 62982 | 2007-03-16 |
| 1700986114 | Della Darlene Pugh | Durable Medical Equipment & Medical Supplies | Junction 34 & Rte 146, Rosiclare, IL 62982 | 2006-09-25 |
| 1609892793 | Rosiclare Hco, LLC | Skilled Nursing Facility | Route1, Box 55a, Rosiclare, IL 62982 | 2006-07-14 |
| 1255331625 | Marcos N Sunga Jr. | Internal Medicine | 1 Ferrell Rd, Rosiclare, IL 62982 | 2005-07-28 |
| 1376543702 | Eladio M Chatto | Internal Medicine | 6 Ferrell Rd., Rosiclare, IL 62982 | 2005-07-28 |
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| Find all providers in zip 62982 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386996890 | Amber Frailey | Nurse Practitioner | 1 Ferrell Road, Rosiclare, IL 62982-2467 | 2012-10-08 |
| 1669085569 | Courtney G Spivey | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982-1052 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.