ELLEN LOUISE HICKERSON


Address: 7800 Bob White Trl, Jones, OK 73049-3424
Phone: 4057713936

ELLEN LOUISE HICKERSON (NPI# 1740516350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740516350
Entity Type Individual
Full Name ELLEN LOUISE HICKERSON
Credential RD/LD
Practice Address 7800 Bob White Trl
Jones
OK 73049-3424
Practice Telephone 4057713936
Practice Fax Number 4057713936
Mailing Telephone 4057713936
Mailing Fax Number 4057713936
Enumeration Date 2009-11-02
Last Update Date 2009-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 850 OK Dietary & Nutritional Service Providers

Office Location

Street Address 7800 BOB WHITE TRL
City JONES
State OK
Zip Code 73049-3424

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735665 Jones Family Dentistry Pllc Clinic/Center 12901 E. Britton Road, Jones, OK 73049 2018-10-04
1043699648 Andrea Chavez Counselor 6750 N Choctaw Rd, Jones, OK 73049 2015-05-28
1205356383 Rlm Pharmacy, LLC Pharmacy 101 W Main St, Jones, OK 73049 2017-06-21
1093859159 Phillip Hal Abel Pharmacist 101 W Main Street, Jones, OK 73049 2007-02-20
1427159300 Paula Lee Mckelvey Occupational Therapist 8111 Ne 129th St, Jones, OK 73049-3410 2006-09-26
1205927019 Sarah Lawanda Mitchener Occupational Therapist 8501 Ne 129th St, Jones, OK 73049-3415 2006-09-27
1336334325 Julia Wilson Physical Therapist 15000 N Douglas Blvd, Jones, OK 73049-3447 2007-09-12
1740496330 Hannelore Audrey Maria Hinds Physician Assistant 7450 N Henny Rd, Jones, OK 73049-6127 2007-05-14
1295746048 Robert S Stramski Nurse Practitioner 12950 E Britton Rd, Suite 105, Jones, OK 73049-7400 2006-08-10
1164852612 Ptms 3.0, LLC Physical Therapist 12950 E Britton Rd, Jones, OK 73049-7400 2013-11-20
Find all providers in zip 73049

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912506411 Candance Elaine Gabel Dietitian, Registered 220 S 2nd Ct, Stillwater, OK 74074-6732 2020-10-26
1326646852 Lori Mathews Dietitian, Registered 2821 36th Ave Nw Ste 150, Norman, OK 73072-2472 2020-10-16
1437756947 Malorie Scherf Dietitian, Registered 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 2020-10-07
1154928216 Shaina Sara Yohannan Dietitian, Registered 9028 Nw 84th St, Yukon, OK 73099-8677 2020-10-01
1598370066 Laci N Patterson Dietitian, Registered 9401 Prosper Dr, Oklahoma City, OK 73151-8811 2020-09-11
1619586534 Amanda Kate Tucker Dietitian, Registered 312 12th Ave Ne, Norman, OK 73071-5238 2020-07-27
1154939452 Cornerstone Nutrition & Diabetes, Pllc Dietitian, Registered 2500 Boardwalk Ste 220, Norman, OK 73069-6593 2020-07-22
1558989335 Angelica Martinez De Loera Dietitian, Registered 7761 Alameda St, Norman, OK 73026-3738 2020-07-08
1326665548 Olivia Jean Trout Dietitian, Registered 4311 Se 57th St, Oklahoma City, OK 73135-3308 2020-07-03
1447875471 Nicholas A Koemel Dietitian, Registered 3724 W 32nd Ave, Stillwater, OK 74074-1724 2020-06-16
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Competitor

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City JONES
Zip Code 73049

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Dataset Information

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.

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