Angie D Hicks-master (NPI# 1255405353, PAC ID# 5496858110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255405353 |
| PAC ID by PECOS | 5496858110 |
| Professional Enrollment ID | I20090126000035 |
| Full Name | Angie D Hicks-master |
| Organization Legal Name | FAMILY COUNSELING CENTER INC |
| Address |
925 Hwy Vv Kennett MO 63857-0071 |
| Phone Number | 5738885925 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163410481 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260070 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 925 Hwy Vv, Kennett, MO 63857-0071 | 5738885925 | FAMILY COUNSELING CENTER INC |
| Bldg 925 Hwy Vv, Kennett, MO 63857-0071 | 5738885925 | FAMILY COUNSELING CENTER INC |
| Organization Legal Name | FAMILY COUNSELING CENTER INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney J Bradford | Nurse Practitioner | Family Counseling Center Inc | 900 State Route Vv, Kennett, MO 63857-3834 |
| Andrea C Jasdanwala | Nurse Practitioner | Family Counseling Center Inc | 500 Hwy J, Hayti, MO 63851-1200 |
| Juanita J Buchanan | Clinical Social Worker | Family Counseling Center Inc | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 |
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Tasha L Wisdom | Clinical Social Worker | Family Counseling Center Inc | 315 E Walnut St, Ellington, MO 63638-7943 |
| Mark R Thelen | Psychologist, Clinical | Family Counseling Center Inc | 102 Marty Dr, Buffalo, MN 55313-9305 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Craig E Tatom | Nurse Practitioner | Family Counseling Center Inc | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Street Address |
925 HWY VV |
| City | KENNETT |
| State | MO |
| Zip | 63857-0071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Larina J Ditto | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Carlos A. Salgueiro | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stephanie A Flynn | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan Brooks Hanks | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Karl E. Shanstrom | Family Medicine | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Ravdeep S Khanuja | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Jo Anne E Williams | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Kimberly S Cline | Nurse Practitioner | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stacy A Emerson | Nurse Practitioner | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Emily J Garrett-pruett | Nurse Practitioner | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Bevila John Daniel | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Jodi Jaye Leeker | Clinical Social Worker | Family Counseling Center, Inc. | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Timothy Mcpherson | Family Medicine | Mcpherson Medical and Diagnostic, LLC | 901 W Commercial St, Kennett, MO 63857-1100 |
| Chancellor Wayne | Chiropractic | 913 Saint Francis St, Kennett, MO 63857-1779 | |
| Jennifer L Lawrence | Nurse Practitioner | Southeast Missouri Health Network | 500 Russell St, Kennett, MO 63857-2102 |
| Judith Haggard | Nurse Practitioner | Southeast Missouri Health Network | 500 Russell St, Kennett, MO 63857-2102 |
| Find all physicians in zip 63857 | |||
| City | KENNETT |
| Zip Code | 63857 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KENNETT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angie D Hicks-master.
| 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.