DR. ROBIN L HICKERSON (NPI# 1851379218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851379218 |
Entity Type | Individual |
Full Name | DR. ROBIN L HICKERSON |
Credential | M.D. |
Practice Address |
307 E Sevier St Benton AR 72015-3934 |
Practice Telephone | 5013154224 |
Practice Fax Number | 5017780450 |
Mailing Telephone | 5013154224 |
Mailing Fax Number | 5017780450 |
Enumeration Date | 2006-01-05 |
Last Update Date | 2020-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G6424 | AR | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C-6423 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 114908001 | 05 | |
AR | 116381726 | 05 |
Street Address |
307 E SEVIER ST |
City | BENTON |
State | AR |
Zip Code | 72015-3934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588651517 | Mary Bonner | Psychologist | 307 E Sevier St, Benton, AR 72015-3934 | 2005-10-04 |
1174919336 | Lana Harrod | Licensed Psychiatric Technician | 307 E Sevier St, Benton, AR 72015-3934 | 2015-04-14 |
1679966527 | Candace Mccown | Social Worker | 307 E Sevier St, Benton, AR 72015-3934 | 2015-03-16 |
1851782130 | Taylor Griffie | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2015-02-09 |
1316359615 | Cathy Howell | Licensed Practical Nurse | 307 E Sevier St, Benton, AR 72015-3934 | 2014-05-21 |
1689012056 | Kenneth Arnold | Counselor | 307 E Sevier St, Benton, AR 72015-3934 | 2013-06-07 |
1700139482 | Abbey L Ray | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-10-18 |
1649527904 | Corrine D Cook | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-08-06 |
1669735346 | Lindsay Powers | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-06-19 |
1134489800 | Kiley Patteson Steele | Social Worker | 307 E Sevier St, Benton, AR 72015-3934 | 2012-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
Find all providers in zip 72015 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285189290 | John C. Leach, Md Pllc | Psychiatry & Neurology | 75 Wellington Colony Dr, Little Rock, AR 72211-2089 | 2016-08-19 |
1326350885 | Nihit Kumar | Psychiatry & Neurology | 4301 W Markham St # 589, Little Rock, AR 72205-7101 | 2010-07-12 |
1457679011 | Kelsey L.m. Mcclellan | Psychiatry & Neurology | 124 W Capitol Ave, Suite 1900, Little Rock, AR 72201-3704 | 2010-05-06 |
1043331010 | Samuel Tyler Armstrong Bayles | Psychiatry & Neurology | 700 S Schiller St, Little Rock, AR 72201-4735 | 2007-04-03 |
1548381510 | Kathryn A Panek | Psychiatry & Neurology | 74 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703-1822 | 2007-04-03 |
1417082710 | Roger Lew Hiatt Jr. | Psychiatry & Neurology | 600 N 7th St, West Memphis, AR 72301-3235 | 2007-02-23 |
1467528026 | University of Arkansas for Medical Sciences | Psychiatry & Neurology | 11 Childrens Way # 854, Little Rock, AR 72202 | 2006-11-27 |
1801999289 | Thomas W Freeman | Psychiatry & Neurology | 3604 Central Avenue, Suite C, Hot Springs, AR 71913 | 2006-09-07 |
1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
1154370518 | Zarina Shah | Psychiatry & Neurology | 5905 Forest Pl, Centers for Youth and Families, Suite 210, Little Rock, AR 72207-5245 | 2006-05-10 |
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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.