Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanya Nicole Roark-Hickman, CCMA

Individual provider Nurse's Aide · NPI 1083360515

Tanya Nicole Roark-Hickman, CCMA is a Nurse's Aide in Blaine, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

880 Rutledge Pike
Blaine, TN 37709-2317
Phone: (865) 933-4110
Fax: (865) 933-4729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X (TN)

Record details

NPI number1083360515
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCMA
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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