Kristy Hicks

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

847953 Issued in NY

Practice address

650 State Street
Watertown, NY 13601-1251

Phone

(315) 755-1251

NPI assigned

Jun 30, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1265119218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33942 COUNTY ROUTE 194",
            "city": "ANTWERP",
            "state": "NY",
            "postal_code": "136083170",
            "telephone_number": "315-955-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 STATE STREET",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011251",
            "telephone_number": "315-755-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "847953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "847953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Hershowitz, O.D.
• Jennifer Hess
• Jordan Nathaniel Hess, PA
• Carolyn Marie Hettrich, MD
• Hunter Mikaela Hewitt, PA-C
• Casey M Hierholzer
• Joann L Hill, CNM
• Nicole Hill
• Braxton L Hillerman, MD
• Lucy Hiotis

• Registered Nurse in Watertown, NY
• Providers in Watertown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.