BRANDI JANELLE HICKMAN (NPI# 1609475516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609475516 |
Entity Type | Individual |
Full Name | BRANDI JANELLE HICKMAN |
Practice Address |
8706 Newton Ave Apt 4101 Kansas City MO 64138-5461 |
Practice Telephone | 8166655378 |
Mailing Telephone | 8166655378 |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
8706 Newton Ave Apt 4101, Kansas City, MO 641385461 | 8166655378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699968479 | Brandi Michelle Hickman | Chiropractor | 601 N Central Ave, Fairborn, OH 45324-5211 | 2007-08-24 |
Street Address |
8706 NEWTON AVE APT 4101 |
City | KANSAS CITY |
State | MO |
Zip Code | 64138-5461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780178160 | Rachel Katherine Volmert | Social Worker | 8800 Blueridge, Kansas City, MO 64138 | 2018-06-19 |
1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
1255777280 | Se Jin Oh | Dentist | 10803 Missouri 350, Raytown, MO 64138 | 2013-05-16 |
1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
1891003927 | Marriah Smith | Adult Companion | 4705 E 109th Terr, Kansas City, MO 64138 | 2010-09-23 |
1437467230 | Bos Transportation LLC | Non-emergency Medical Transport (VAN) | 9405 White Ave, Kansas City, MO 64138 | 2010-09-15 |
1598935710 | Alex Heydar Motaref Dmd PC | Dentist | 6406 E 87th Street, Suite 101, Kansas City, MO 64138 | 2008-03-04 |
1063602456 | Lorenzo T. Hughes Sr. | Massage Therapist | 8908 E. 89th Street, Kansas City, MO 64138 | 2007-07-31 |
1225237993 | Individual Expressions, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3817 Woodson Drive, Raytown, MO 64138 | 2007-07-13 |
1285850701 | Alex Heydar Motaref | Dentist | 6406 E 87th St, Suite 101, Kansas City, MO 64138 | 2007-04-17 |
Find all providers in zip 64138 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
1801354113 | Assured Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 609, Kansas City, MO 64110-3543 | 2019-03-05 |
1992269484 | Home Sitter Agency, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 448, Kansas City, MO 64110-3597 | 2019-01-29 |
1225546724 | Urban Outreach Ministries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11926 E 44th Ter, Kansas City, MO 64133-2005 | 2018-01-18 |
1215454913 | Empowering Lives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4711 Haden Ct, Kansas City, MO 64136 | 2017-08-24 |
1033650742 | Insight Ind Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 W 43rd St, Kansas City, MO 64111-4907 | 2017-03-14 |
1134662505 | Focused Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4240 N Spruce Ave, Kansas City, MO 64117-1850 | 2016-12-02 |
1104287150 | Heart To Heart America LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Ne 36th St, Kansas City, MO 64117-2712 | 2016-03-17 |
1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
1528430188 | Sheryl Crow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1606 Ne 113th Ter, Kansas City, MO 64155-2923 | 2015-10-22 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64138 |
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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.