Active NPI
Jill V Hickey, DPM
- Podiatrist
- Naples, FL
National Provider Identifier
1023056074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2110
- Practice address
- 49 8TH St N
Naples, FL 34102-6020 - Phone
- (239) 436-1999
- Fax
- (239) 436-3788
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2110 | FL | Primary |
Addresses
Primary practice location
49 8TH St N
Naples, FL 34102-6020
Mailing address
49 8TH St N
Naples, FL 34102-6020
Phone (239) 436-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061023000081 | FL | Practitioner - Podiatry | 5890792519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2110 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1023056074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 8TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026020",
"telephone_number": "239-436-1999",
"fax_number": "239-436-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 8TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026020",
"telephone_number": "239-436-1999",
"fax_number": "239-436-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "JILL",
"middle_name": "V",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.