MINDY LYNN HICKENBOTTOM (NPI# 1881182632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881182632 |
| Entity Type | Individual |
| Full Name | MINDY LYNN HICKENBOTTOM |
| Credential | CNP |
| Practice Address |
111 S Grant Ave Columbus OH 43215 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145669160 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.307815 | OH | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.022912 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 S GRANT AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146075 | Edward John Weisenberger | Nurse Anesthetist, Certified Registered | 111 S Grant Ave, 3rd Fl, Columbus, OH 43215 | 2005-07-07 |
| 1114528171 | Jessica Lynn Hack | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-11-05 |
| 1780297424 | Lauren Entwistle | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-08-24 |
| 1427673185 | Ohiohealth Grant Medical Center | Pharmacy | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-06-09 |
| 1215557871 | Kelly Elizabeth Ventresco | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-04-23 |
| 1255968624 | Allison Kaye Hoynes | Student in an Organized Health Care Education/Training Program | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-03-25 |
| 1023648318 | Fardowsa O Khalif | Nurse Practitioner | 111 S Grant Ave, N/a, Columbus, OH 43215 | 2020-01-25 |
| 1174167944 | Hope Deborah Dela Vega | Physical Therapist | 111 S Grant Ave, Columbus, OH 43215-1898 | 2019-11-04 |
| 1184271553 | Gabrielle Noel Colaiacovo | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-08-21 |
| 1053979328 | Megan Elizabeth Vanlandingham | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1003388828 | April Allen | Nurse Practitioner | 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909-5981 | 2018-12-18 |
| 1588145965 | Megan R Mosher | Nurse Practitioner | 500 Thomas Ln Ste 2e, Columbus, OH 43214-1419 | 2018-08-24 |
| 1134630585 | Stephanie Kay Stewart | Nurse Practitioner | 2000 10th Ave Ste 200, Columbus, GA 31901-3705 | 2017-10-12 |
| 1083642094 | Mary Alice Momeyer | Nurse Practitioner | 2121 Bethel Rd Ste F, Columbus, OH 43220-1804 | 2006-06-29 |
| 1942858311 | Sarah Lynn Johnson | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2019-08-29 |
| 1124688239 | Ashley Mcgaughy | Nurse Practitioner | 85 Mcnaughten Rd Ste 110, Columbus, OH 43213-5111 | 2019-06-20 |
| 1124687793 | Megan M Reed | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2019-06-07 |
| 1134690837 | Brenda M Riddle | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2018-12-07 |
| 1053897330 | Caroline Nicole Holden | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-07-19 |
| Find all providers in COLUMBUS | ||||
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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.