Active NPI
Douglas Hickman
- Social Worker
- Raytown, MO
National Provider Identifier
1295315786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8500
- Practice address
- 7001 Blue Ridge Blvd
Raytown, MO 64133-5629 - Phone
- (816) 988-2751
- NPI assigned
- Apr 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8500 | KS | Primary |
Addresses
Primary practice location
7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Mailing address
7320 NE 47TH St
Kansas City, MO 64117-1461
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 |
|---|---|---|---|
| 8500 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1295315786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 NE 47TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641171461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 BLUE RIDGE BLVD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335629",
"telephone_number": "816-988-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.