Individual provider Active NPI

Lisa Marie Hicks, L.AC., DIPL.AC.

  • Acupuncturist
  • Newark, OH
National Provider Identifier
1265604235
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
65.000155 Issued in OH
Practice address
225 S 21St St Ste C
Newark, OH 43055-3875
Phone
(740) 334-0485
Fax
(740) 522-0228
NPI assigned
Mar 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 65.000155 OH Primary

Addresses

Primary practice location

225 S 21St St Ste C
Newark, OH 43055-3875

Mailing address

138 Hillview CT
Heath, OH 43056-5517
Phone (740) 334-0485

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

LicenseStateTypeSpecialty
65.000155OHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wei Acupuncture of Newark, LTD Acupuncturist CurrentSince Mar 4, 2021 Accepting new patients

Locations

1916 Tamarack Rd
Newark, OH 43055
Phone (740) 349-2978

225 S 21st St
Ste C
Newark, OH 43055
Phone (740) 334-0485

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1265604235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HILLVIEW CT",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430565517",
            "telephone_number": "740-334-0485",
            "fax_number": "740-522-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 21ST ST STE C",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553875",
            "telephone_number": "740-334-0485",
            "fax_number": "740-522-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.