Active NPI
Isaac L Hicks III, RD, LDN
- Registered Dietitian
- New Castle, DE
National Provider Identifier
1184933764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN-0000398
- Practice address
- 713 E. Basin Road E-123
William Penn HS Wellness Center
New Castle, DE 19720 - Phone
- (302) 423-9035
- NPI assigned
- Sep 30, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN-0000398 | DE | Primary |
Addresses
Primary practice location
713 E. Basin Road E-123
William Penn HS Wellness Center
New Castle, DE 19720
Mailing address
186 Madison Dr
Newark, DE 19711-4406
Phone (302) 423-9035
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN-0000398 | DE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1184933764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 MADISON DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197114406",
"telephone_number": "302-423-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E. BASIN ROAD E-123",
"address_2": "WILLIAM PENN HS WELLNESS CENTER",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "19720",
"telephone_number": "302-423-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ISAAC",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "DN-0000398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.