TAMARA LYNN HICKMAN CPNP
NPI 1699989665
Nurse Practitioner - Pediatrics in Charlevoix, MI

Q: What is Tamara Hickman's NPI number?

The NPI number for Tamara Hickman is 1699989665. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Tamara Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Hickman was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2007

NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET, CHARLEVOIX, MI 49720(231) 547-6523(231) 547-6238 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tamara Lynn Hickman Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA LYNN HICKMAN CPNP (NPI 1699989665) is an individual pediatrics provider in Charlevoix, Michigan, licensed in Michigan (4704113645) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1699989665

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTAMARA LYNN HICKMANCredential: CPNP

Location AddressNORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREETCharlevoix, MI 49720

Mailing Address8275 W State StCentral Lake, MI 49622-9701 · (231) 544-6960

Phone(231) 547-6523

Fax(231) 547-6238

Sole ProprietorNo

Enumeration DateMay 9, 2007

Last NPPES UpdateJune 28, 2016

✔ NPI 1699989665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704113645

NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, Charlevoix, MI 49720

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Other Identifiers 3

Other50-0-A5-1010-0MI · Bcbsm

Medicaid4868054MI

OtherTH113645MI · Bcbsm License Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN MARY KILLAM RN,MSN,NP

Nurse Practitioner

NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET
CHARLEVOIX, MI 49720

Charlevoix County (231) 547-6523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Hickman's NPI number?

The NPI number for Tamara Hickman is 1699989665. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Tamara Hickman located?

Tamara Hickman practices at Northwest Michigan Community Health Agency 220 W. Garfield Street, Charlevoix, MI 49720. The listed phone number is (231) 547-6523.

What is Tamara Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tamara Hickman was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.