DR. JACOB HICKS (NPI# 1649403684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649403684 |
| Entity Type | Individual |
| Full Name | DR. JACOB HICKS |
| Credential | DC |
| Practice Address |
119 Se Broad Street Murfreesboro TN 37130 |
| Practice Telephone | 6158677782 |
| Practice Fax Number | 6158677783 |
| Mailing Telephone | 6158677782 |
| Mailing Fax Number | 6158677783 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2379 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215503 | Jacob Hicks | Physical Therapist | 8685 W. Union Hills Drive, 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-09-20 |
| 1851828495 | Jacob Hicks | Pharmacist | 2930 Ocean Beach Hwy, Longview, WA 98632-3514 | 2017-05-14 |
| Street Address |
119 SE BROAD STREET |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346473378 | Elizabeth Hicks | Chiropractor | 119 Se Broad Street, Murfreesboro, TN 37130 | 2009-08-25 |
| 1831322791 | Middle Tennessee Spine and Joint Center LLC | Chiropractor | 119 Se Broad Street, Murfreesboro, TN 37130 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420482 | Ellen Kernodle | Chiropractor | 6708 Burnt Knob Rd, Murfreesboro, TN 37129-2634 | 2020-06-01 |
| 1477182582 | Austen A Scheumann | Chiropractor | 745 S Church St Ste 405, Murfreesboro, TN 37130-4962 | 2020-04-02 |
| 1831745603 | Jonathan Sheridan | Chiropractor | 268 Veterans Pkwy Ste J, Murfreesboro, TN 37128-6432 | 2019-08-16 |
| 1184180812 | Well Health Murfreesboro | Chiropractor | 3053 Medical Center Parkway, Suite B, Murfreesboro, TN 37129-4188 | 2019-02-19 |
| 1467925982 | Dynamic Chiropractic Clinics | Chiropractor | 1144 Fortress Blvd Ste E, Murfreesboro, TN 37128-5589 | 2019-01-08 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1508344359 | Lauren Mchenry | Chiropractor | 3053 Medical Center Pkwy Ste B, Murfreesboro, TN 37129-4186 | 2018-08-03 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1912415712 | Krysten Alexandra Jacobs | Chiropractor | 1302 Amberwood Cir, Murfreesboro, TN 37128-6755 | 2018-01-15 |
| 1124567136 | Oscar Manuel Noriega | Chiropractor | 546 Brandies Cir, Suite 103, Murfreesboro, TN 37128-7738 | 2017-02-23 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
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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.