Active NPI
Rhiannon Hickok, MD
- Pediatric Critical Care Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME127121
- Practice address
- 601 5TH St S Ste 501
St Petersburg, FL 33701-4804 - Phone
- (727) 767-4343
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD040294 | DC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD040294 | DC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME127121 | FL | Primary |
Addresses
Primary practice location
601 5TH St S Ste 501
St Petersburg, FL 33701-4804
Mailing address
601 5TH St S Ste 501
St Petersburg, FL 33701-4804
Phone (727) 767-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040294 | DC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 3
Clearwater, FL 33759
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
3001 W Mlk Blvd
Fl 1
Tampa, FL 33607
Phone (813) 321-6820
Interoperability endpoints
- rhickok1383413@direct.hopkinsmedicine.org
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1245465186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S STE 501",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S STE 501",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKOK",
"first_name": "RHIANNON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD040294",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DC",
"license": "MD040294",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME127121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.