KELLY DEAN SMITH HICKS (NPI# 1598053936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598053936 |
| Entity Type | Individual |
| Full Name | KELLY DEAN SMITH HICKS |
| Credential | PNP |
| Practice Address |
75 Genesee St Ste 2 Auburn NY 13021-3644 |
| Mailing Address |
119 S Terry Rd Syracuse NY 13219-1437 |
| Practice Telephone | 3152552255 |
| Mailing Telephone | 3154479019 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382208 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013374438 | Kelly Hicks | Occupational Therapy Assistant | 1775 N Park Dr, Apt 1, Junction City, KS 66441-1892 | 2016-01-15 |
| 1821419532 | Kelly Hicks | Nurse Practitioner | 1315 York Ave Fl 2, Box 172, New York, NY 10021-5304 | 2013-12-23 |
| 1033462536 | Kelly Anne Hicks | Pediatrics | 6701 Fannin St, Suite 1020, Houston, TX 77030-2608 | 2012-10-21 |
| 1982897484 | Kelly R Hicks | Clinical Nurse Specialist | 3333 Burnet Ave., International Adoption Center, Ml 7036, Cincinnati, OH 45229-3039 | 2007-08-20 |
| Street Address |
75 GENESEE ST STE 2 |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871554360 | Farrukh Anwer | Pediatrics | 75 Genesee St, Auburn, NY 13021 | 2006-04-01 |
| 1730746546 | Karysa N Humphrey | Pediatrics | 75 Genesee St, Auburn, NY 13021-3644 | 2019-05-28 |
| 1669848578 | Victoria Ann Smith | Nurse Practitioner | 75 Genesee St, Auburn, NY 13021-3644 | 2015-08-14 |
| 1740384247 | Auburn Pediatrics Pllc | Pediatrics | 75 Genesee St, Auburn, NY 13021 | 2006-09-13 |
| 1366456329 | Confidential Help for Alcohol and Drugs, Inc. | Counselor | 75 Genesee St, Ste 4, Auburn, NY 13021-3644 | 2006-07-27 |
| 1619919297 | Finger Lakes Obstetrics & Gynecology, PC | Obstetrics & Gynecology | 75 Genesee St, 3rd Fl, Auburn, NY 13021-3644 | 2006-06-11 |
| 1093777245 | Sue M Butera | Nurse Practitioner | 75 Genesee St, Auburn, NY 13021 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249108 | Auburn Pediatrics Inc | Nurse Practitioner | 8660 Auburn Rd, Auburn, WV 26325-7515 | 2019-11-12 |
| 1083193908 | Brittany Caradine | Nurse Practitioner | 75 Genesee St Ste 2, Auburn, NY 13021-3644 | 2018-08-10 |
| 1770770331 | Jody M Trent | Nurse Practitioner | 1314 East 7th Street, Suite 204, Auburn, IN 46706-2533 | 2007-09-27 |
| 1073833737 | Courtney Amedro | Nurse Practitioner | 37 W Garden St, Suite 203, Auburn, NY 13021-2662 | 2010-06-04 |
| 1497082853 | Almas Rathod | Nurse Practitioner | 105 Millbury St, Auburn, MA 01501-3205 | 2009-11-05 |
| 1356566251 | Susan Perkins Vansteenkiste | Nurse Practitioner | 11484 B Ave, Auburn, CA 95603-2603 | 2007-04-16 |
| 1558461665 | Maureen Lundin | Nurse Practitioner | 105 Millbury St, Auburn, MA 01501 | 2006-09-25 |
| 1093816142 | Joanne Piecka | Nurse Practitioner | 105 Millbury St, Auburn, MA 01501 | 2006-09-25 |
| 1689775728 | Clare Breen | Nurse Practitioner | 105 Millbury St, Auburn, MA 01501 | 2006-09-25 |
| 1669572699 | Mary Lucinda Wilke | Nurse Practitioner | 105 Millbury St, Auburn, MA 01501 | 2006-09-22 |
| Find all providers in AUBURN | ||||
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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.