Mechelle Lynn Hicks, OCPSA.161626

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

OCPSA.161626 Issued in OH

Practice address

665 W Market St
Akron, OH 44303-1438

Phone

(330) 379-3467

Fax

(330) 379-3465

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1295423655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MECHELLE",
        "middle_name": "LYNN",
        "credential": "OCPSA.161626",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "OCPSA.161626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ellen Heyne, RN, CPNP
• Danielle Hicar, CNP
• Hickory Health Care, Inc.
• Adrian Hicks
• Jodi Hicks
• Shantelena Marie Hicks
• Tia Hicks
• Tyler Steven Hicks, MD
• Rachael Hiengphothichack
• David Jack Higbee, PT

• Prevention Professional in Akron, OH
• Providers in Akron, OH by specialty
• Prevention Professional in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.