Dawn Marie Hicok, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L67040-1 Issued in MN

Practice address

106 North 4TH Avenue
Fergus Falls, MN 56537-1034

Phone

(218) 998-3778

Fax

(218) 998-3187

NPI assigned

Dec 4, 2008

Last updated

Dec 4, 2008By the provider in NPPES

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

Other names 1

• Dawn Marie Waldera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CK Home Health

  • Assisted Living Facility
  • Fergus Falls, MN
  • NPI 1447553284
  NPD (past)
• CK Home Health Care Inc.

  • Home Health Agency
  • Fergus Falls, MN
  • NPI 1568685683
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1942445960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LIKENS LANE",
            "city": "LONGVILLE",
            "state": "MN",
            "postal_code": "56655",
            "telephone_number": "218-820-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NORTH 4TH AVENUE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371034",
            "telephone_number": "218-998-3778",
            "fax_number": "218-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICOK",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L67040-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WALDERA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Herold-Ordonez, MD
• Lauren Ann Herzog, DDS
• Cindy Lee Hewitt, LPN
• Eleanor Ruth Hewitt, RN
• Ellyn C Hexum, PA-C
• Chelsea Hilbrand
• Micaelah Hill
• Ann Marie Hintz, CPM, LM
• Matthew Benjamin Hintz, PA-C
• Joni Jane Hjelseth, RN

• Licensed Practical Nurse in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.