NPIMap

Organization Active NPI

Healthcare of Hickory PLLC

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1184012353
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5001107 Issued in NC
Legal business name
HEALTHCARE OF HICKORY PLLC
Doing business as
Healthcare of Hickory
Practice address
1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469
Phone
(828) 320-0733
Fax
(828) 322-3316
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Susan Adonika Troutman, NPNPI 1558324533
Title
Owner
Phone
(828) 320-0733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5001107 NC Primary

Addresses

Primary practice location

1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469

Mailing address

1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469
Phone (828) 320-0733

Other names 1

  • Healthcare of Hickory Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1184012353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE",
            "address_2": "SUITE 757",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "828-320-0733",
            "fax_number": "828-322-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE",
            "address_2": "SUITE 757",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "828-320-0733",
            "fax_number": "828-322-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE OF HICKORY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ADONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-320-0733",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5001107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare of Hickory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.