KRISTIN RENAE HICKMAN (NPI# 1699328765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699328765 |
| Entity Type | Individual |
| Full Name | KRISTIN RENAE HICKMAN |
| Other Name | KRISTIN RENAE WILSON |
| Credential | APRN |
| Practice Address |
434 4th St Ste 310 Newport TN 37821-3735 |
| Practice Telephone | 4236230640 |
| Practice Fax Number | 4236237615 |
| Mailing Telephone | 4236230640 |
| Mailing Fax Number | 4236237615 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11700377 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 W Broadway Blvd, Jefferson City, TN 377601942 | 8652628240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093237380 | Kristin Marie Hickman | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2017-07-09 |
| Street Address |
434 4TH ST STE 310 |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1467919423 | Sara Gdowski | Nurse Practitioner | 9083 Maple Ridge Dr, Newport, MI 48166-9285 | 2019-02-26 |
| 1639633191 | Kristen Renae Tabor | Nurse Practitioner | 1532 Sherwood Dr, Newport, TN 37821-7124 | 2019-01-29 |
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1871097212 | Amanda Therese Wuebben | Nurse Practitioner | 4388 Partridge Ln, Newport, MI 48166-9189 | 2018-03-21 |
| 1497261093 | Tiffany Paige Holcomb | Nurse Practitioner | 300 Corrections Dr, Newport, AR 72112-8008 | 2017-12-18 |
| 1386165108 | Maureen Anne Burns | Nurse Practitioner | 612 Grandview Ave, Newport, KY 41071-2847 | 2017-07-01 |
| 1235684184 | Meghan Hart | Nurse Practitioner | 756 Cosby Hwy, Newport, TN 37821-3455 | 2016-08-22 |
| 1215329784 | Jessica Manning | Nurse Practitioner | 216 Hedrick Dr, C/o Cocke County High School, Newport, TN 37821-2906 | 2015-02-20 |
| 1962890749 | Lisa M Helmer | Nurse Practitioner | 193 Newport Gray Rd, Newport, NY 13416-3302 | 2015-01-02 |
| Find all providers in NEWPORT | ||||
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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.