LATIA MICHELLE HICKERSON


Address: 17000 El Camino Real, Ste 209, Houston, TX 77058-2633
Phone: 8329306345

LATIA MICHELLE HICKERSON (NPI# 1811238652) 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) 1811238652
Entity Type Individual
Full Name LATIA MICHELLE HICKERSON
Other Name LATIA MICHELLE WADE
Credential WHNP
Practice Address 17000 El Camino Real
Ste 209
Houston
TX 77058-2633
Practice Telephone 8329306345
Practice Fax Number 2817544903
Mailing Telephone 8329306345
Enumeration Date 2013-03-04
Last Update Date 2018-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 794027 TX Allopathic & Osteopathic Physicians
Y 363L00000X Nurse Practitioner AP122845 TX Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 794027 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17000 EL CAMINO REAL
STE 209
City HOUSTON
State TX
Zip Code 77058-2633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528032927 Nora J Davis Psychiatry & Neurology 17000 El Camino Real, Ste. 302a, Houston, TX 77058-2636 2006-02-14
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1720120165 Vicki Junck Counselor 17000 El Camino Real, Ste.105e, Houston, TX 77058-2636 2007-02-13
1740358191 Second Silhouette, Inc Prosthetic/Orthotic Supplier 17000 El Camino Real, Suite 106, Houston, TX 77058-2636 2006-12-02
1669556833 Robert R Pace IIi Counselor 17000 El Camino Real, Suite 105e, Houston, TX 77058-2636 2006-10-25
1134209455 Clear Lake Neurology Pllc Specialist 17000 El Camino Real, #205, Houston, TX 77058-2636 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699248807 Jolly Joseph Nurse Practitioner 18300, Houston Methodist, Houston, TX 77058 2019-01-10
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10
1053801225 Dialyspa Vii LLC Clinic/Center 1411 Bonner St., Houston, TX 77058 2018-05-14
1699263285 Pneucare, LLC Durable Medical Equipment & Medical Supplies 1322 Space Park Dr Ste C120, Houston, TX 77058 2018-04-29
1972005189 Limy Fernandus Nurse Practitioner 985 E Nasa Pkwy, Houston, TX 77058 2018-03-03
1033623616 Sigi Paul Nurse Practitioner 1210 El Camino Village Dr., Houston, TX 77058 2017-11-19
1881107845 Jennifer Elise Hobson Counselor 1322 Space Park Dr Ste B123, Houston, TX 77058 2017-11-13
1174035778 Agrarian Wellness, LLC Registered Nurse 17000 El Camino Real Ste 209, Houston, TX 77058 2017-11-04
1013468073 Cynthia Bandemer Counselor 17300 El Camino Real Ste 107d, Houston, TX 77058 2016-10-14
1043698533 Hopewell Home Healthcare LLC Nursing Care 18090 Kings Row, Houston, TX 77058 2015-05-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696246 Ev Collaborative House Calls LLC Nurse Practitioner 16325 Westheimer Rd, Houston, TX 77082-1233 2020-10-16
1386257137 Joshua John Ramos Nurse Practitioner 6565 Fannin St Ste Alkek754, Houston, TX 77030-2703 2020-08-30
1902419880 Andrea Randazzo Kummer Nurse Practitioner 3351 Clear Lake City Blvd, Houston, TX 77059-2506 2020-08-28
1225647985 Madison Dale Larose Nurse Practitioner 2047 Westcreek Ln Unit 409, Houston, TX 77027-3748 2020-07-29
1609499516 Glow Maven Nurse Practitioner 4544 Post Oak Place Dr Ste 254, Houston, TX 77027-3104 2020-05-26
1457971889 Threase Y Mitchell Nurse Practitioner 6806 Oakmantle Dr, Houston, TX 77085-1336 2020-04-27
1023646718 Tracy Ann Strown Nurse Practitioner 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 2020-03-30
1649804550 Jessica Schneider Vanover Nurse Practitioner 4950 Fm 1960 Rd W Ste A6, Houston, TX 77069-4517 2020-02-29
1124658679 Neumed, LLC Nurse Practitioner 2401 N Shepherd Dr, Houston, TX 77008-1957 2020-01-23
1306481049 Grace Usoro Nurse Practitioner 3434 Cline St, Houston, TX 77020-6126 2019-11-15
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Competitor

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City HOUSTON
Zip Code 77058

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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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