Carlee Rachell Hickman

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

31075125 Issued in NC

Practice address

2012 Orby Ave
Indian Trail, NC 28079-5380

Phone

(704) 778-5175

NPI assigned

Jan 2, 2017

Last updated

Jan 2, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1043755994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 ORBY AVE",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795380",
            "telephone_number": "704-778-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 ORBY AVE",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795380",
            "telephone_number": "704-778-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "CARLEE",
        "middle_name": "RACHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "31075125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Heinicke
• Andrew Helms
• Kelly Michelle Helms, PTA
• Henry Ernst, DMD, PA (Pleasant Plains Dental)
• Shanice Hicklen
• Jasmine Hickman, RN, MHA, IBCLC
• Charlene C Hightower, PHD, LCSW-A, LCAS-A
• Holistic Hands of Life Solutions LLC
• Richard Mark Holmes, DMD, PA
• Home Front Pumps

• Athletic Trainer in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.