MRS. JAMIE MARIE FICKS (NPI# 1588099915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588099915 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE MARIE FICKS |
| Other Name | MISS JAMIE MARIE KURTZ |
| Credential | CRNP |
| Practice Address |
215 E Water St Muncy PA 17756-8828 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212850 |
| Practice Fax Number | 5703212851 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP013808 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 313248F6K | 01 |
| Street Address |
215 E WATER ST |
| City | MUNCY |
| State | PA |
| Zip Code | 17756-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909602 | Mollie Elizabeth Sullivan | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2020-07-08 |
| 1265084982 | Dwight Heller | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1598317224 | Vickie Lynne Dgien | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1790337426 | Valerie Jean Wohlfert-white | Physical Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1861044653 | Amy Louise Vandermark | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-11 |
| 1225680309 | Debra A Morin | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-10 |
| 1619461829 | Meghan Sarik | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2018-06-20 |
| 1265940100 | Jennifer Nicole Mccloskey | Occupational Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2018-01-12 |
| 1225556558 | Tracy Haskins | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-09-07 |
| 1396273579 | Danielle Joy Sommers | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1730661422 | Erika E Mabus Od PC | Optometrist | 2214 Pa-405, Muncy, PA 17756 | 2018-08-30 |
| 1649672833 | Bethany Lauren Stroup | Occupational Therapist | 215 E. Water St., Genesis Rehabilitation Services, Susquehanna Health, Muncy, PA 17756 | 2014-09-19 |
| 1861826430 | Brian D Shiptoski | Nurse Practitioner | 6454 Rt 405 Hwy, Sci-muncy, Muncy, PA 17756 | 2013-08-30 |
| 1770741894 | Families United Network Inc | Foster Care Agency | 276 Ashler Manor Drive, Pennsdale, PA 17756 | 2008-05-27 |
| 1578674826 | Harrison Gooderham Mccormick | Social Worker | 1881 Bitler Hill Road, Muncy, PA 17756 | 2006-08-31 |
| 1316908742 | Anita Nagpal | Physician Assistant | 604 Fox Hollow Circle, Muncy, PA 17756 | 2006-03-28 |
| 1578546685 | Hamptons Chiropractic Inc | Chiropractor | 2848 Route 405 Highway, Muncy, PA 17756 | 2005-11-22 |
| 1699111229 | Rose A. Trevouledes | Dietitian, Registered | 10 Shady Lane, Suite 202, Muncy, PA 17756 | 2013-05-22 |
| 1083615538 | Melinda A Mckee | Chiropractor | 18 N Washington St, Muncy, PA 17756-1111 | 2005-08-09 |
| Find all providers in zip 17756 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
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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.