KATHERINE MARIE HICKMAN (NPI# 1790054567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790054567 |
| Entity Type | Individual |
| Full Name | KATHERINE MARIE HICKMAN |
| Credential | PHD, ATC |
| Practice Address |
2490 S 11th St Kalamazoo MI 49009-2175 |
| Practice Telephone | 2693431535 |
| Mailing Telephone | 2693431535 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601000474 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2490 S 11TH ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124280 | William M Uggen | Orthopaedic Surgery | 2490 S 11th St, Suite 201, Kalamazoo, MI 49009-2175 | 2005-09-15 |
| 1811530009 | Kaitlyn Nicole Cooper | Physician Assistant | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2019-10-21 |
| 1760024418 | Nicole Anna Lafonte | Physician Assistant | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2019-10-15 |
| 1417422700 | Christina Margaret Lawson | Nurse Practitioner | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2018-10-12 |
| 1467927376 | Michael Anthony Digiorgio | Physician Assistant | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2018-10-06 |
| 1497258644 | Raeann Vermeer | Physical Therapist | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2018-03-14 |
| 1912376963 | Jeffery Oney | Physician Assistant | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2015-09-21 |
| 1831455484 | Craig J Raberding | Orthopaedic Surgery | 2490 S 11th St, Kalamazoo, MI 49009 | 2012-04-09 |
| 1407135189 | David Lee Mayor II | Orthopaedic Surgery | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2011-08-11 |
| 1154572279 | Brianna Bethany Laird | Physical Therapist | 2490 S 11th St, Suite 8, Kalamazoo, MI 49009-2175 | 2008-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1851858724 | Rylea Saunders | Specialist/Technologist | 10582 W L Ave, Kalamazoo, MI 49009-9323 | 2019-02-26 |
| 1043775802 | Allison Selene Zyzelewski | Specialist/Technologist | 4163 Glacier Valley Ave, Kalamazoo, MI 49009-5015 | 2019-02-06 |
| 1851876692 | Alexis Kristine French | Specialist/Technologist | 3847 Whitney Ct, Kalamazoo, MI 49009-6922 | 2018-09-27 |
| 1598269086 | Salvador Robles-soriano | Specialist/Technologist | 2107 N 26th St, Kalamazoo, MI 49048-9217 | 2018-03-20 |
| 1538677919 | Jacob Walter Slager | Specialist/Technologist | 4703 Silverleaf Ln, Kalamazoo, MI 49004-3180 | 2018-01-19 |
| 1871000166 | Stefvany Rae Miller | Specialist/Technologist | 611 Wheaton Ave, Kalamazoo, MI 49008-1357 | 2018-01-08 |
| 1144761370 | Joseph Timgren | Specialist/Technologist | 5048 Coopers Landing Dr, Apt 2b, Kalamazoo, MI 49004-6657 | 2017-03-20 |
| 1588105068 | Janelle Morem | Specialist/Technologist | 4739 Sweet Cherry Ln, Kalamazoo, MI 49004-3706 | 2017-03-16 |
| 1285171603 | Anthony Moon | Specialist/Technologist | 36460 22nd St, Kalamazoo, MI 49009-9200 | 2017-01-23 |
| Find all providers in KALAMAZOO | ||||
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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.