Active NPI
Cara Lou Hicks, LPN
- Licensed Practical Nurse
- Circleville, OH
National Provider Identifier
1225232077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 102912
- Practice address
- 28690 State Route 159
Circleville, OH 43113-9780 - Phone
- (740) 477-8728
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 102912 | OH | Primary |
Addresses
Primary practice location
28690 State Route 159
Circleville, OH 43113-9780
Mailing address
28690 State Route 159
Circleville, OH 43113-9780
Phone (740) 477-8728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2708243 | Other | OH | INDEPENDANT PROVIDER |
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 |
|---|---|---|---|
| PN 102912 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225232077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28690 STATE ROUTE 159",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431139780",
"telephone_number": "740-477-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28690 STATE ROUTE 159",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431139780",
"telephone_number": "740-477-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "CARA",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN 102912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDANT PROVIDER",
"identifier": "2708243",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Circleville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.