Active NPI
Cindy Lea Hickerson
- Behavior Analyst
- Enid, OK
National Provider Identifier
1154971711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 18-72882
- Practice address
- 1814 W Owen K Garriott Rd
Enid, OK 73703-5525 - Phone
- (405) 823-8226
- Fax
- (580) 297-5204
- NPI assigned
- Sep 16, 2019
- Last updated
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 18-72882 | OK | Primary |
Addresses
Primary practice location
1814 W Owen K Garriott Rd
Enid, OK 73703-5525
Mailing address
11113 W Southgate Rd
Enid, OK 73703-7240
Phone (580) 548-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-72882 | OK | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1154971711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11113 W SOUTHGATE RD",
"city": "ENID",
"state": "OK",
"postal_code": "737037240",
"telephone_number": "580-548-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 W OWEN K GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "737035525",
"telephone_number": "405-823-8226",
"fax_number": "580-297-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKERSON",
"first_name": "CINDY",
"middle_name": "LEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "18-72882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.