Karen Diane Haggerty-Hicks, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0050-02630 Issued in NC

Practice address

1100 E Wendover Ave
Greensboro, NC 27405

Phone

(336) 641-4717

Fax

(336) 641-5777

NPI assigned

Feb 7, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Catawba Office of Accountant

  • State or Local Public Health Clinic/Center
  • Hickory, NC
  • NPI 1992857841
  Medicare reassignment NPD
• County of Catawba Office of Accountant

  • State or Local Public Health Clinic/Center
  • Hickory, NC
  • NPI 1609922459
  NPD
• County of Guilford

  • State or Local Public Health Clinic/Center
  • Greensboro, NC
  • NPI 1245272657
  NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1114067220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056713",
            "telephone_number": "336-641-4717",
            "fax_number": "336-641-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-641-4717",
            "fax_number": "336-641-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 E Main St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277013720",
            "country_code": "US",
            "telephone_number": "919-560-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY-HICKS",
        "first_name": "KAREN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-02630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114067220",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Dawn Hadgkiss, LPC
• Megan Smith Hadley, MS, RD, LDN
• Oranisha Benet Hagans, RN
• Bryan Wayne Hager, PA
• Toni Marie Hager, PT
• Rachel Hagler, M.D.
• Kevin P Hagood, DDS
• Bethany A Hagopian, LCMHC, NCC, MS
• Aqeel Haidar, MD
• Erin Ashley Haines, MED, ATC, LAT

• Family Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.

Verify at the official NPI Registry.