MARY KATHERINE HICKS (NPI# 1811415474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811415474 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE HICKS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1030 N Monroe St Monroe MI 48162-3113 |
| Practice Telephone | 7346823309 |
| Practice Fax Number | 7346821488 |
| Mailing Telephone | 7346823309 |
| Mailing Fax Number | 7346821488 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704140648 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484254 | Mary Hicks | Registered Nurse | 135 Se County Road 3144, Corsicana, TX 75109-0689 | 2020-07-09 |
| 1205135597 | Mary Jane Hicks | Licensed Practical Nurse | 2506 Davidson Ave, 5e, Bronx, NY 10468-4258 | 2011-03-25 |
| 1699003236 | Mary Hicks | Pharmacist | 800 W Magnolia Ave Ste 130, Fort Worth, TX 76104-4611 | 2009-11-19 |
| 1114183647 | Mary A. Hicks | Nurse Practitioner | 13400 S. Pleasant Valley Rd., Imsi, Boise, ID 83707 | 2008-08-04 |
| 1821288978 | Mary Frances Hicks | Licensed Practical Nurse | 35 Clinton St, Batavia, NY 14020-2822 | 2007-07-25 |
| 1447463989 | Mary Lawrence Hicks | Nurse Practitioner | 995 Potrero Ave # 86, San Francisco, CA 94110-2859 | 2007-05-08 |
| 1447241229 | Mary Hicks | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202 | 2005-11-02 |
| 1841711462 | Mary Hicks | Counselor | 225 S Main St Ste B, Versailles, KY 40383-1582 | 2017-07-05 |
| 1023410214 | Mary Hicks | Social Worker | 36 Union St., Dryden, NY 13053-0088 | 2014-09-19 |
| 1386903789 | Mary C Hicks | Physical Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-05-07 |
| Street Address |
1030 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457397622 | Maureen Elizabeth Bruns | Dietitian, Registered | 1030 N Monroe St, Monroe, MI 48162-3113 | 2006-06-22 |
| 1215117023 | Monroe Geriatric Evaulation and Management Services Pllc | Internal Medicine | 1030 N Monroe St, Monroe, MI 48162-3113 | 2007-11-08 |
| 1780874909 | Ariel Q Majjhoo | Psychiatry & Neurology | 1030 N Monroe St, Monroe, MI 48162-3113 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
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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.