Active NPI
Lisa Marie Hicks, L.AC., DIPL.AC.
- Acupuncturist
- Newark, OH
National Provider Identifier
1265604235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 65.000155
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65.000155 | OH | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wei Acupuncture of Newark, LTD | Acupuncturist | Current | 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.
-
- Acupuncturist
- Newark, OH
- NPI 1407356470
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.