COLIN R HICKENLOOPER (NPI# 1972550192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972550192 |
| Entity Type | Individual |
| Full Name | COLIN R HICKENLOOPER |
| Credential | PA-C |
| Practice Address |
1108 Fox Meadows Blvd Ste 1 Sevierville TN 37862-6939 |
| Mailing Address |
3801 Lake Otis Pkwy Suite 300 Anchorage AK 99508-5234 |
| Practice Telephone | 8653661581 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PADA547 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020179 | 05 |
| Street Address |
1108 FOX MEADOWS BLVD STE 1 |
| City | SEVIERVILLE |
| State | TN |
| Zip Code | 37862-6939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275897837 | Steven Michael Comer | Physician Assistant | 1108 Fox Meadows Blvd Ste 1, Sevierville, TN 37862-6939 | 2012-06-28 |
| 1730371865 | Leconte Orthopedics, Pllc | Family Medicine | 1108 Fox Meadows Blvd Ste 1, Sevierville, TN 37862-6939 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902330376 | Nichole Reed | Nurse Practitioner | 1787 Veteran Blvd, Suite 101, Sevierville, TN 37862 | 2017-04-12 |
| 1912395104 | Mark Mckinney | Physician Assistant | 1130 Middle Creek Rd., Ste. 260, Sevierville, TN 37862 | 2014-12-23 |
| 1538587431 | Calli Drummey | Speech-Language Pathologist | 1102 Medical Park Court, Sevierville, TN 37862 | 2014-03-29 |
| 1720400377 | Tonia Denise Littleton | Physical Therapist | 699 Parkway Ste 2, Sevierville, TN 37862 | 2014-01-16 |
| 1386986727 | Lisa May | Counselor | 1103 Dolly Parton Pkwy, Sevierville, TN 37862 | 2013-03-25 |
| 1073890422 | Lorrie Tate | Nurse Practitioner | 744 Middle Creek Rd Ste 114, Sevierville, TN 37862 | 2011-11-14 |
| 1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
| 1114234382 | Well-key Health, Pllc | Clinic/Center | 1787 Veterans Blvd, Suite 101, Sevierville, TN 37862 | 2010-09-08 |
| 1053544742 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 819 Dolly Parton Pkwy, Sevierville, TN 37862 | 2009-08-27 |
| 1407090855 | Carolyn Hare, Arnp | Nurse Practitioner | 415 Catlett Road, Sevier County Health Care Center, Inc, Sevierville, TN 37862 | 2009-04-29 |
| Find all providers in zip 37862 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578699005 | Lauren Kay Polvino | Physician Assistant | 1130 Middle Creek Rd, Suite 260, Sevierville, TN 37862 | 2007-02-26 |
| 1427086503 | Nancy Lucille Hensley | Physician Assistant | 715 Middle Creek Rd, Sevierville, TN 37862-5016 | 2006-06-29 |
| 1487624623 | Wendell Keith Porter | Physician Assistant | 1105 Oak Cluster Dr, Sevierville, TN 37862-6079 | 2006-01-23 |
| 1366536377 | Harlon Arnold | Physician Assistant | 602 Hilltop Cir, Sevierville, TN 37876-1652 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SEVIERVILLE |
| Zip Code | 37862 |
Please comment or provide details below to improve the information on COLIN R HICKENLOOPER.
| 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.