CHRISTINE A HICKEY (NPI# 1659838464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659838464 |
| Entity Type | Individual |
| Full Name | CHRISTINE A HICKEY |
| Credential | FNP-C |
| Practice Address |
1 Walter Scholer Dr Lafayette IN 47909-6303 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28181168A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008925A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300025601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700186525 | Christine Marie Hickey | Speech-Language Pathologist | 505 Glen Cove Ave, Glen Head, NY 11545-1447 | 2010-10-26 |
| 1063968113 | Christine Hickey | Clinic/Center | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2016-08-29 |
| 1285012120 | Christine Hickey | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2015-05-12 |
| Street Address |
1 WALTER SCHOLER DR |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585131 | Philip E Keller | Family Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2005-11-15 |
| 1427521814 | Kristie Tidrick | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2019-01-08 |
| 1609225580 | Lauren N. Sallese | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2016-06-10 |
| 1356705313 | Sonya Janssen-luper | Social Worker | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2016-04-06 |
| 1578988440 | Melissa Kaye Kovich | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2014-02-28 |
| 1083054696 | Nanette R Julian | Nurse Practitioner | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2013-06-27 |
| 1902192776 | Kimberly Rogers | Registered Nurse | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2011-06-21 |
| 1457660235 | Nasreen Haq | Internal Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2010-09-28 |
| 1902125503 | Ingrid Bocanegra | Family Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2010-05-20 |
| 1104086958 | Jeffrey Wang | Family Medicine | 1 Walter Scholer Dr, Lafayette, IN 47909-6303 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| Find all providers in zip 47909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915233 | Christi Danielle Carmouche | Nurse Practitioner | 119 Crooked Stick Ln, Lafayette, LA 70506-7539 | 2020-09-03 |
| 1881204808 | Shavondali Harris Cawthorne | Nurse Practitioner | 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 | 2020-08-04 |
| 1386253870 | Millcreek Medical LLC | Nurse Practitioner | 105 Moss Brook Dr, Lafayette, LA 70508-8039 | 2020-07-30 |
| 1174145759 | Synita Wooten | Nurse Practitioner | 200 Highway 52 Byp E, Lafayette, TN 37083-1353 | 2020-05-18 |
| 1316567548 | Michelle Cataldo | Nurse Practitioner | 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 | 2020-04-17 |
| 1255974515 | Dr. Terrell S Manuel, LLC | Nurse Practitioner | 336 Brightwood Dr, Lafayette, LA 70508-7358 | 2019-10-19 |
| 1477117562 | Kayley Jon Myers | Nurse Practitioner | 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 | 2019-04-24 |
| 1003371840 | Brandi Rene Boutte | Nurse Practitioner | 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 | 2019-02-06 |
| 1265912141 | Kathryn Lynn Armentor Boutte | Nurse Practitioner | 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 | 2018-08-20 |
| 1801380829 | Sarah Darouse | Nurse Practitioner | 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 | 2018-06-22 |
| Find all providers in LAFAYETTE | ||||
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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.