Active NPI
Rachel L Hickman, NP
- Family Nurse Practitioner
- Avon, CO
National Provider Identifier
1336669886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0993156-NP
- Practice address
- 850 West Beaver Creek Blvd
Avon, CO 81620-9201 - Phone
- (970) 945-2840
- Fax
- (970) 945-2893
- NPI assigned
- Jun 26, 2017
- Last updated
- Jun 1, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0993156-NP | CO | Primary |
Addresses
Primary practice location
850 West Beaver Creek Blvd
Avon, CO 81620-9201
Mailing address
2700 Gilstrap CT Ste 230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840
Other practice location 1
181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 401-4775
Other names 1
- Rachel Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0993156-NP | CO | MD | Family Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Edwards, CO
- NPI 1205690286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1336669886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GILSTRAP CT STE 230",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816018735",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WEST BEAVER CREEK BLVD",
"city": "AVON",
"state": "CO",
"postal_code": "816209201",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
}
],
"practiceLocations": [
{
"address_1": "181 W Meadow Dr",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "816575242",
"country_code": "US",
"telephone_number": "970-401-4775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKMAN",
"first_name": "RACHEL",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0993156-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "HARRISON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.