MISS STACEY HICKEL (NPI# 1629250964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629250964 |
| Entity Type | Individual |
| Full Name | MISS STACEY HICKEL |
| Credential | RD |
| Practice Address |
2221 Stockton Blvd Suite B Sacramento CA 95817-1418 |
| Mailing Address |
4851 Kokomo Dr #7324 Sacramento CA 95835-1840 |
| Practice Telephone | 9167346528 |
| Mailing Telephone | 9164709715 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
881956 | CA | Dietary & Nutritional Service Providers |
| Street Address |
2221 STOCKTON BLVD SUITE B |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041698 | Regents of The Univ of Ca | Surgery | 2221 Stockton Blvd, Sacramento, CA 95817 | 2005-08-23 |
| 1770127334 | Andrew Thompson | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2019-11-06 |
| 1982187241 | Kimberly C Sosik | Physician Assistant | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-09-12 |
| 1285132175 | Gerdy Mirline Pluviose | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-01-25 |
| 1649704610 | Dana Tam Kilday | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2017-04-17 |
| 1912458860 | Jenny Mccormack | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-10-16 |
| 1013367135 | Amir Sarkeshik | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-06-20 |
| 1134593783 | Allison Shuken | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-11-19 |
| 1801277751 | Sean James Judge | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-06-17 |
| 1215329396 | Bernadette Hystad | Physician Assistant | 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609164508 | Donna Lynn Morton De Souza | Dietitian, Registered | 20 Cafaro Cir, Sacramento, CA 95834-1036 | 2011-07-13 |
| 1265834964 | Golnaz Ghomeshi | Dietitian, Registered | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279792 | Healthy Mission Dietitian, Inc. | Dietitian, Registered | 225 S Ivy Ave # 266, Monrovia, CA 91016-2835 | 2020-03-05 |
| 1861048456 | Kimberly Reiko Miyamoto | Dietitian, Registered | 24533 Cadiz Dr, Lomita, CA 90717-1156 | 2019-08-10 |
| 1114490497 | Maria Tointon | Dietitian, Registered | 236 6th Ave # A, Santa Cruz, CA 95062-4604 | 2019-01-09 |
| 1194260695 | Rory Pace | Dietitian, Registered | 300 Santana Row, Suite 300, San Jose, CA 95128-2423 | 2016-12-20 |
| 1689122533 | Shirlee Rosen | Dietitian, Registered | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, CA 91403-3807 | 2016-09-20 |
| 1336599836 | Shu-hui Dai | Dietitian, Registered | 20718 Golden Rain Rd, Riverside, CA 92508-3161 | 2016-06-15 |
| 1679922561 | Monica Wong | Dietitian, Registered | 2201 Junipero Serra Blvd, Daly City, CA 94014-1908 | 2016-06-10 |
| 1275982837 | Alice Thipphavong | Dietitian, Registered | 1290 Tully Rd Ste 60, San Jose, CA 95122-3069 | 2016-06-05 |
| 1417328121 | Vanessa Joana Rojas-bautista | Dietitian, Registered | 101 City Drive, Bldg. 51, Orange, CA 92868-3217 | 2015-10-08 |
| 1396131009 | Susan Lynn Mills | Dietitian, Registered | 5718 Ravenspur Dr Unit 106, Rancho Palos Verdes, CA 90275-3536 | 2015-04-09 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on MISS STACEY HICKEL.
| 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.