Nan B Hicks, HAS

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AS4856 Issued in FL

Practice address

300 Mary Esther Blvd
Miracle-Ear at Santa Rosa Mall
Mary Esther, FL 32569-1693

Phone

(850) 243-3196

Fax

(850) 243-8294

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1215289434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 HARBOR BLVD",
            "address_2": "STE 140",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412473",
            "telephone_number": "850-243-3196",
            "fax_number": "850-243-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARY ESTHER BLVD",
            "address_2": "MIRACLE-EAR AT SANTA ROSA MALL",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691693",
            "telephone_number": "850-243-3196",
            "fax_number": "850-243-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "NAN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AS4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Marie Harper, LMHC
• Julie Harper, PSY-D
• Timeka Hayes, LMHC
• Justina R Herman, LMT
• Taide Hernandez
• Kaylie Brianne Hoffman
• Elizabeth Nicole Hoke
• Holiday CVS LLC
• Holiday CVS LLC
• Meghann Elizabeth Hruska

• Audiologist-Hearing Aid Fitter in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Audiologist-Hearing Aid Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.