Brandy T Hickerson, MED, PSYCHOLOGIST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

17 S Central Ave
Idabel, OK 74745-4625

Phone

(580) 286-5184

Fax

(580) 286-5185

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1104955202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 474",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747289584",
            "telephone_number": "580-212-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454625",
            "telephone_number": "580-286-5184",
            "fax_number": "580-286-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "BRANDY",
        "middle_name": "T",
        "credential": "MED, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marva A Heinemann, LPC, LMFT, RN
• Jeffery Henderson, BA
• Jamie Lynn Henriquez
• Kaylyn Nicole Hernandez, APRN, FNP-C
• William Joseph Herron, D.O.
• Hill Nursing Home, Inc.
• Bradley J Hill
• Howard Charles Hill Sr., DPH
• Darcie Finette Hilton-Sniegiecki, BA BHRS
• Sara Ann Hoffpauir

• Professional Counselor in Idabel, OK
• Providers in Idabel, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.