Christopher Kip Hicks, CPO/LPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CPO 02437 Issued in DE

Practice address

909 Franklin St SE
Huntsville, AL 35801-4333

Phone

(256) 539-7997

Fax

(256) 539-7991

NPI assigned

Jul 12, 2005

Reactivated

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1114925328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014333",
            "telephone_number": "256-539-7997",
            "fax_number": "256-539-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014333",
            "telephone_number": "256-539-7997",
            "fax_number": "256-539-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "KIP",
        "name_prefix": "Mr.",
        "credential": "CPO/LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "DE",
            "license": "CPO 02437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148605",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "753014671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HH Surgical Associates-Robert Lancaster MD
• HH Tennessee Valley Pain Center
• Christina Hiatt
• Farrar Pell Hickey, CRNP
• Chadwick Scott Hickman, D.O.
• Joseph P Hicks, M.D.
• Taylor Ree Hicks, DPT
• Traci Lynell Hicks, CNM
• William J Hicks, M.D.
• Hollea Higginbotham

• Prosthetics Case Management in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Prosthetics Case Management in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.