Individual provider Active NPI

Tiffany Hickman, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1346798485
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
3010398 Issued in KY
Practice address
1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467
Phone
(859) 278-0396
NPI assigned
Sep 19, 2016
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 3010398 KY Primary

Addresses

Primary practice location

1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467

Mailing address

1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467
Phone (859) 278-0396

Other practice location 1

1760 Nicholasville Rd
Suite 101
Lexington, KY 40503-1471
Phone (859) 278-0396 ext. 80396

Other practice location 2

206 Bevins Ln
Georgetown, KY 40324-6130
Phone (502) 868-0368

Other identifiers 1

IdentifierTypeStateIssuer
7100444030MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thickman37451@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124001820 KY Practitioner - Nurse Practitioner 8224310446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1700 Nicholasville Rd
Suite 701
Lexington, KY 40503-1467
Phone (859) 278-0396

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010398KYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

206 Bevins Ln
Georgetown, KY 40324
Phone (502) 570-5525

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1760 Nicholasville Rd
Ste 101
Lexington, KY 40503
Phone (606) 278-0396

1700 Nicholasville Rd
Ste 701
Lexington, KY 40503
Phone (859) 278-0396

Interoperability endpoints

  • Direct secure messaging: thickman@lexobgyn.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1346798485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Nicholasville Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031471",
            "country_code": "US",
            "telephone_number": "859-278-0396 x80396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Bevins Ln",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403246130",
            "country_code": "US",
            "telephone_number": "502-868-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "3010398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100444030",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thickman37451@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1760 Nicholasville Rd",
            "address_2": "Suite 101",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.