Bracy Ann Sickal, RN

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

License

2019023981 Issued in MO

Practice address

800 Hospital Dr
Columbia, MO 65201-5275

Phone

(573) 814-6000

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1720608995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37900 HIGHWAY HH",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652812215",
            "telephone_number": "660-676-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKAL",
        "first_name": "BRACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "MO",
            "license": "2019023981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle M Shull, DDS
• Jonathan Shumway, DO
• Stepan Pavlovich Shumyak, DO
• Faisal Shurafa
• Nancy Ann Sibert, RPH
• Farhan Siddiq, M.D.
• Bismah Farrukh Siddiqui, M.D
• Junaid Habib Siddiqui, M.D.
• Manaal Siddiqui, MD
• Mohammed Azfar Siddiqui, MD

• Registered Nurse in Columbia, MO
• Providers in Columbia, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.