Active NPI
Alandra Unique Hicks
- Licensed Practical Nurse
- Douglasville, GA
National Provider Identifier
1255951604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 171711
- Practice address
- 7027 Branch Crossing Way
Douglasville, GA 30134-7041 - Phone
- (770) 990-7383
- NPI assigned
- Apr 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN100121 | GA | |
| Licensed Practical Nurse | 164W00000X | 171711 | OH | Primary |
Addresses
Primary practice location
7027 Branch Crossing Way
Douglasville, GA 30134-7041
Mailing address
7027 Branch Crossing Way
Douglasville, GA 30134-7041
Phone (770) 990-7383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171711 | Other | OH | LPN LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Uniquehicks89@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| LPN100121 | GA | MD | Licensed Practical Nurse |
| 171711 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1255951604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7027 BRANCH CROSSING WAY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301347041",
"telephone_number": "770-990-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7027 BRANCH CROSSING WAY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301347041",
"telephone_number": "770-990-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ALANDRA",
"middle_name": "UNIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2022-01-17",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN100121",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "171711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE NUMBER",
"identifier": "171711",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Uniquehicks89@gmail.com",
"affiliation": "N",
"endpointDescription": "Uniquehicks89@gmail.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "27400 Chardon Rd Apt 537",
"city": "Willoughby Hills",
"state": "OH",
"country_code": "US",
"postal_code": "440922770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.