Nancy Sickafoose, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

155675 Issued in GA

Practice address

612 McKinnes BR
Evans, GA 30809-4080

Phone

(706) 799-4719

NPI assigned

Dec 28, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nancy Sickafoose Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1720357304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MCKINNES BR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094080",
            "telephone_number": "706-799-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MCKINNES BR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094080",
            "telephone_number": "706-799-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKAFOOSE",
        "first_name": "NANCY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "155675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SICKAFOOSE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bethany Shaw, RBT
• Kenneth Steven Shaw, O.D.
• Lisa Marie Sheehan, M.D.
• Bozeman K Sherwood, MD
• Samir Nicolas Shwayri, PHARMD
• Signature Speech Services LLC
• Linda Simanski, RN
• David Collins Simonds, D.M.D.
• Cheyenne Sims, BS IN PSYCHOLOGY
• Meenu G Singhal, MD

• Critical Care Medicine Registered Nurse in Evans, GA
• Providers in Evans, GA by specialty
• Critical Care Medicine Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.