TAMMIE SUE HICKMAN (NPI# 1851836431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851836431 |
| Entity Type | Individual |
| Full Name | TAMMIE SUE HICKMAN |
| Credential | FNP |
| Practice Address |
705 Fairground Rd Scottsburg IN 47170 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 8127520165 |
| Practice Fax Number | 8127520163 |
| Mailing Telephone | 5022534917 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006795A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300000173 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9894 E 121st St, Fishers, IN 460374154 | 3176216060 |
| Street Address |
705 FAIRGROUND RD |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386708527 | Occupational Medicine Physicians, P.C. | Preventive Medicine | 705 Fairground Rd, Scottsburg, IN 47170-6778 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811367360 | Angela Nicole Rotenberger | Nurse Practitioner | 1465 N Gardner St, Scottsburg, IN 47170-7751 | 2015-09-28 |
| 1477557312 | Erica J. Rodgers | Nurse Practitioner | 1441 N Gardner St, Scottsburg, IN 47170-7751 | 2005-06-09 |
| 1326652751 | Andrea Lee Gibson | Nurse Practitioner | 1441 N Gardner St, Scottsburg, IN 47170-7751 | 2020-09-02 |
| 1710548979 | Np2u LLC | Nurse Practitioner | 6711 E Mount Eden Rd, Scottsburg, IN 47170-5309 | 2019-06-27 |
| 1427405109 | 1st Place Health LLC | Nurse Practitioner | 40 E Cherry St, Scottsburg, IN 47170-1814 | 2016-05-23 |
| 1710301460 | Tonie Avery | Nurse Practitioner | 1469 N Gardner St, Scottsburg, IN 47170-7751 | 2014-02-14 |
| 1033228861 | Sara L Feltner | Nurse Practitioner | 1461 N Gardner St, Scottsburg, IN 47170 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
Please comment or provide details below to improve the information on TAMMIE SUE HICKMAN.
| 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.