MRS. AMANDA LEA HICKS (NPI# 1619426319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619426319 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LEA HICKS |
| Other Name | AMANDA LEA WOODARD |
| Credential | RN |
| Practice Address |
1000 Health Center Road Kyle SD 57752 |
| Mailing Address |
3934 Park Dr Rapid City SD 57702-0551 |
| Practice Telephone | 6054558203 |
| Practice Fax Number | 6054552808 |
| Mailing Telephone | 6054558203 |
| Mailing Fax Number | 6054552808 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R047377 | SD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629348594 | Amanda Hicks | Pharmacist | 507 Chestnut St, Atlantic, IA 50022-1249 | 2012-01-09 |
| 1003434473 | Amanda B Hicks | Nurse Practitioner | 5533 New Cut Rd, Louisville, KY 40214-4329 | 2020-07-11 |
| 1902384605 | Amanda Marie Hicks | Speech-Language Pathologist | 5650 S Rainbow Blvd, Las Vegas, NV 89118-1808 | 2018-08-03 |
| 1851879571 | Amanda Hicks | Case Manager/Care Coordinator | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 | 2018-08-03 |
| 1053827162 | Amanda Janette Hicks | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2017-12-27 |
| 1659887388 | Amanda Marie Hicks | Nurse Practitioner | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2017-12-18 |
| 1487045522 | Amanda Hicks | Physical Therapist | 1301 E M St, Torrington, WY 82240-3521 | 2015-02-11 |
| 1245514264 | Amanda C Hicks | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2011-10-10 |
| 1245379122 | Amanda Hicks | Case Manager/Care Coordinator | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2007-02-06 |
| Street Address |
1000 HEALTH CENTER ROAD |
| City | KYLE |
| State | SD |
| Zip Code | 57752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219587 | William Robert Wagner | Social Worker | 1000 Health Center Road, Kyle Health Center / Dhhs/ihs, Kyle, SD 57752 | 2005-07-18 |
| 1568001857 | Suzanne Curts | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2020-01-03 |
| 1043862162 | Nikki Black Bear | Counselor | 1000 Health Center Road, Kyle, SD 57752-0540 | 2019-07-09 |
| 1225596745 | Margaret Brill | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2019-03-04 |
| 1821522087 | Aundrea Lavoy | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2017-04-14 |
| 1225588734 | Jeanette Amiotte | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-10-07 |
| 1598212193 | Rachel Shipe | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-09-01 |
| 1740514330 | Mary E Dvorak | Pharmacist | 1000 Health Center Road, Kyle, SD 57752 | 2009-09-29 |
| 1043450745 | Kathleen Rae Thompson | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2009-02-20 |
| 1285883900 | Kyle Health Center | Nursing Care | 1000 Health Center Road, Kyle, SD 57752 | 2008-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
| 1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
| 1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
| 1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
| 1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1699759001 | Ellen Stephen Hospice and Homecare | Registered Nurse | 1 Main, Kyle, SD 57752 | 2005-11-30 |
| Find all providers in zip 57752 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588734 | Jeanette Amiotte | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-10-07 |
| 1073939914 | Faye Hernandez | Registered Nurse | 1000 Health Center Rd, Kyle, SD 57752 | 2014-03-17 |
| 1316197478 | Georgia Lee Foote | Registered Nurse | 1000 Health Center Drive, Kyle, SD 57552 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902395205 | Tonya Marie Jost | Registered Nurse | 104 S River St, Chamberlain, SD 57325-1524 | 2018-05-02 |
| 1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
| 1851836068 | Caleb Amos | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2016-12-23 |
| 1114383262 | Jocelyn Adams | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2016-01-05 |
| 1063842417 | Jobeth Ann Swallow | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2013-11-22 |
| 1457783623 | Robert Eugene Hansen | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-07-30 |
| 1649617630 | Denise Red Horse | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-05-30 |
| 1619266921 | Weewashte Conroy | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-04-07 |
| 1215259346 | Shirley Jean Seaboy | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2010-02-16 |
| 1801022025 | Sherri Lynn Tenfingers | Registered Nurse | Highway 18 East, Pine Ridge, SD 57770 | 2009-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. AMANDA LEA HICKS.
| 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.