Lauren S. Hicks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

238 Brookley Ave
Bolling Afb, DC 20332-0001

Phone

(202) 767-5536

NPI assigned

Oct 2, 2005

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

• Lauren H. Haglund Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1083601389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S IRVING ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041725",
            "telephone_number": "703-521-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "203320001",
            "telephone_number": "202-767-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LAUREN",
        "middle_name": "S.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HAGLUND",
            "middle_name": "H.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ridge Morgan Gilley, D.D.S., M.S.
• Todd Gray, PA
• Michael D Guiterrez
• Grant R Hartup, DDS
• Tammy Knapp Heisey, DMD
• Amanda Hoyle, CD(DONA)
• Jose Enrique Ibanez-Pabon, DMD
• Taylor Lynn Ignarri, BSN, RN
• James E King Jr., DMD
• Marissa Koch, WHNP, RNC

• Physician Assistant in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.