LETA HOUSTON HICKEY


Address: 40555 Burton Trl, Chagrin Falls, OH 44022-6692
Phone: 4404230437

LETA HOUSTON HICKEY (NPI# 1972690261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972690261
Entity Type Individual
Full Name LETA HOUSTON HICKEY
Credential RN, CNP
Practice Address 40555 Burton Trl
Chagrin Falls
OH 44022-6692
Practice Telephone 4404230437
Practice Fax Number 4404230461
Enumeration Date 2006-10-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
RN-198048 OH Nursing Service Providers
X 363LN0000X Nurse Practitioner
Specialization: Neonatal
CTP-02010 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 40555 BURTON TRL
City CHAGRIN FALLS
State OH
Zip Code 44022-6692

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1750530408 Francisca Uduaku Onunaku Nurse Practitioner 45001 Mather Ln, Chagrin Falls, OH 44022 2008-09-17
1801001466 Roger P Lee Radiology 325 Capital Hill Circle, Orange Village, OH 44022 2007-05-14
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1811007636 Alla Kirsch Family Medicine 5192 Chillicothe Road, Suite #101, South Russell, OH 44022 2006-08-30
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Taxonomy Information

Taxonomy Code 163WN0002X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Neonatal Intensive Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1184112146 Nicole Herrick Registered Nurse 1238 Golden Gate Blvd, Mayfield Heights, OH 44124-1819 2018-04-25
1356762462 Chevonne Smith Registered Nurse 1152 Vernon Odom Blvd, Akron, OH 44307-1071 2013-12-17
1790127678 Robyn Delaine Mckinney Registered Nurse 1533 Artman Ave, Akron, OH 44313-7407 2013-07-22
1235575911 Stephanie Marie Filing Registered Nurse 534 Letchworth Dr, Akron, OH 44303-1728 2013-05-21
1427387810 Adeline M Cursio Registered Nurse 1263 Amity Rd, Galloway, OH 43119 2009-12-14
1093940777 Tina Marie Dadas Registered Nurse 18512 Stony Point Dr, Strongsville, OH 44136-8168 2009-05-24
1851559215 Amber Michelle Dunfee Registered Nurse 4246 Newcomer Rd, Stow, OH 44224-2802 2008-06-01
1457533911 Linda Jean O'laughlin Registered Nurse 765 Kentucky Cir, Marysville, OH 43040-8069 2007-11-27
1275500555 Amy Marie Steverding Registered Nurse 30248 Harrison St, Willowick, OH 44095-4818 2006-03-04
1902412133 Dustin Logan Warne Registered Nurse 1 Wyoming St, Dayton, OH 45409-2722 2020-09-22
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Competitor

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City CHAGRIN FALLS
Zip Code 44022

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Dataset Information

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.

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