Kimberly Hicks, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

243508 Issued in OH

Practice address

430 E Pease Ave
Dayton, OH 45449-1357

Phone

(937) 859-5121

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• West Carrollton City SD

  • Local Education Agency (LEA)
  • West Carrollton, OH
  • NPI 1851582217
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1326463571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E PEASE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454491357",
            "telephone_number": "937-859-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E PEASE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454491357",
            "telephone_number": "937-859-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KIMBERLY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "243508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basil T Hicks
• Cherilynne Hicks
• Deshae Hicks
• Erin Hicks
• Kellen Kristopher Hicks, LICDC-CS
• Tiffany Hicks, LPN
• Todd L Hicks, MD
• Travis Richard Hicks
• Cody McKay Hidy, PHARMD
• Sarah Teresa Hierath, PHARMD

• School Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• School Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.