MR. JONATHAN ELLIOTT HICKMAN (NPI# 1649613555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649613555 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN ELLIOTT HICKMAN |
| Credential | PMHNP-BC |
| Practice Address |
1145 Sagamore Ave Portsmouth NH 03801-5503 |
| Practice Telephone | 6034316703 |
| Practice Fax Number | 6034303753 |
| Mailing Telephone | 6034316703 |
| Mailing Fax Number | 6034303753 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9284934 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3078870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1710256995 | Jonathan Michael Hickman | Pharmacist | 371 Milestone Dr, Tallahassee, FL 32312-3575 | 2011-12-18 |
| 1639315534 | Jonathan Todd Hickman | Social Worker | 2924 Walnut Grove Rd, Ste. 2, Memphis, TN 38111-2714 | 2008-12-23 |
| 1235518838 | Jonathan Scott Hickman | Internal Medicine | 835 E 18th Ave Ste 110, Denver, CO 80218 | 2015-05-28 |
| Street Address |
1145 SAGAMORE AVE |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316903131 | Edward Hickey Drummond | Psychiatry & Neurology | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2006-04-21 |
| 1770190936 | Amber L Epison | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-09-30 |
| 1750997490 | Richard Lafrenaye | Social Worker | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-09-18 |
| 1104434828 | Sarah Zsigray | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-07-20 |
| 1073130340 | Caitlyn Mccormack | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-07-02 |
| 1700403680 | Lianna Nawn | Social Worker | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-26 |
| 1942826276 | Lily Clemons | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-23 |
| 1346865615 | Emily Woods | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-12 |
| 1841815263 | Christopher Velasquez | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-11 |
| 1265057541 | Lindsay Hamel | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178218 | Peace of Mind Therapeutic Solutions, LLC | Nurse Practitioner | 355 Crawford St Ste 102, Portsmouth, VA 23704-2817 | 2020-06-08 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1700116563 | Rachel Ryan Baudek | Nurse Practitioner | 620 John Paul Jones Cir Bldg 1226b, Portsmouth, VA 23708-2111 | 2009-12-30 |
| 1871622993 | Ellen F. Kingsbury | Nurse Practitioner | 100 Shattuck Way Ste 200, Portsmouth, NH 03801-8004 | 2007-03-05 |
| 1336241983 | Helen S. Rizza | Nurse Practitioner | 30 Mirona Road Ext, Suite 3, Portsmouth, NH 03801-5343 | 2006-09-03 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1396373205 | Crystal Gayle Mcbee | Nurse Practitioner | 1634 11th St, Portsmouth, OH 45662-4526 | 2020-03-28 |
| 1265067789 | Donna Marie Hedberg | Nurse Practitioner | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-03-04 |
| 1528610698 | Afaribea Fosu | Nurse Practitioner | 301 Fort Ln, Portsmouth, VA 23704-2221 | 2019-07-09 |
| 1730674375 | Belinda S Rose | Nurse Practitioner | 1634 11th St, Portsmouth, OH 45662 | 2018-06-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on MR. JONATHAN ELLIOTT HICKMAN.
| 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.