Active NPI
Nancy M Hickey, M.D.
- Diagnostic Radiology Physician
- St Albans, VT
National Provider Identifier
1316993140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 042-0009142
- Practice address
- 133 Fairfield St
St Albans, VT 05478-1726 - Phone
- (802) 524-5911
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 042-0009142 | VT | Primary |
Addresses
Primary practice location
133 Fairfield St
St Albans, VT 05478-1726
Mailing address
PO Box 1359
Williston, VT 05495-1359
Phone (802) 524-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN1277 | Medicaid | VT |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009142 | VT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Radiology Associates P C | Diagnostic Radiology | Past | Accepting new patients |
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Saint Albans, VT
- NPI 1265595987
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1316993140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054951359",
"telephone_number": "802-524-7100",
"fax_number": "802-524-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 FAIRFIELD ST",
"city": "ST ALBANS",
"state": "VT",
"postal_code": "054781726",
"telephone_number": "802-524-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "NANCY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VT",
"license": "042-0009142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN1277",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.