Kristine Hickman (NPI# 1629515812, PAC ID# 3870879588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629515812 |
| PAC ID by PECOS | 3870879588 |
| Professional Enrollment ID | I20170412001627 |
| Full Name | Kristine Hickman |
| Organization Legal Name | LOWER SHORE CLINIC, INC. |
| Address |
505 E Main St Salisbury MD 21804-5020 |
| Phone Number | 4103413420 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365469947 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 505 E Main St, Salisbury, MD 21804-5020 | 4103413420 | LOWER SHORE CLINIC, INC. |
| Organization Legal Name | LOWER SHORE CLINIC, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lateshia Jackson | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Lower Shore Clinic Mobile Treatment, Salisbury, MD 21804-5020 |
| Olivia H Wackett | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Jeannette Kathleen Buchanan | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Helen F Smith | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Mary D Wilson | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Karly Sandra Peterson | Physician Assistant | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Labake G Ogunnupe | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Kristine Garlitz | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Efigenio Bautista | Psychiatry | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Susan Lee Gray | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Street Address |
505 E MAIN ST |
| City | SALISBURY |
| State | MD |
| Zip | 21804-5020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louise M Mills Dumonceaux | Clinical Social Worker | 505 E Main St, Clayton, NC 27520-2621 | |
| Kenzie L Maloy | Chiropractic | 505 E Main St, Suite B, Hermiston, OR 97838-1954 | |
| Lateshia Jackson | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Lower Shore Clinic Mobile Treatment, Salisbury, MD 21804-5020 |
| Olivia H Wackett | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Jeannette Kathleen Buchanan | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Helen F Smith | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Mary D Wilson | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Karly Sandra Peterson | Physician Assistant | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Labake G Ogunnupe | Nurse Practitioner | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Kristine Garlitz | Clinical Social Worker | Lower Shore Clinic, Inc. | 505 E Main St, Salisbury, MD 21804-5020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carly A Moore | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Usha Natesan | Internal Medicine | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Vel Natesan | Internal Medicine | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Lawrence Tawiah | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Melissa R Gunther | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Ashley G Mccready | Nurse Practitioner | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
| Robert Downey Boutin | Diagnostic Radiology | Progressive Mri LLC | 1820 Sweetbay Dr, Suite 102, Salisbury, MD 21804-1439 |
| Tanya Poisker | Nurse Practitioner | Jonathan C Patrowicz Do Pa | 1820 Sweet Bay Dr, Suite 101, Salisbury, MD 21804-1439 |
| Jonathan C Patrowicz | Family Medicine | Jonathan C Patrowicz Do Pa | 1820 Sweet Bay Dr, Suite 101, Salisbury, MD 21804-1439 |
| Kazi S Khan | Nephrology | Peninsula Nephrology Associates Pa | 1821 Sweetbay Dr, Suite 1, Salisbury, MD 21804-1664 |
| Find all physicians in zip 21804 | |||
| City | SALISBURY |
| Zip Code | 21804 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALISBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristine Hickman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.