Individual provider Active NPI

Therese Griffin Hicks, D.C., F.I.A.C.A

  • Acupuncturist
  • Globe, AZ
National Provider Identifier
1164450565
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
270 Issued in AZ
Practice address
138 S Broad St
Globe, AZ 85501-2602
Phone
(928) 425-3207
Fax
(928) 425-3662
NPI assigned
Jun 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3793 AZ
Acupuncturist 171100000X 270 AZ Primary

Addresses

Primary practice location

138 S Broad St
Globe, AZ 85501-2602

Mailing address

138 S Broad St
Globe, AZ 85501-2602
Phone (928) 425-3207

Other identifiers 2

IdentifierTypeStateIssuer
AZ5501OtherAZHEALTHNET
AZ0086750OtherAZBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
270AZMDAcupuncturist
3793AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hicks Wellness Clinic, PLLC Chiropractor PastSince Aug 1, 2007 Accepting new patients
Desert Oasis Wellness Center, PLLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164450565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012602",
            "telephone_number": "928-425-3207",
            "fax_number": "928-425-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012602",
            "telephone_number": "928-425-3207",
            "fax_number": "928-425-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "THERESE",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "D.C., F.I.A.C.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3793",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AZ5501",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0086750",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.