Renee B Hickson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.022772 Issued in LA

Practice address

1004 Surrey St
Lafayette, LA 70501

Phone

(337) 456-6768

NPI assigned

Mar 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• In and Out Urgent Care, LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1851725154
  Medicare reassignment NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Center - Metairie

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Center-Higgins

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1386024891
  NPD
• Marillac Community Health Centers

  dba DePaul Community Health Centers - Hammond

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• City of New Orleans

  dba Health Care for the Homeless Program

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1043427693

  Family Medicine

  NPD (past)
• Contemporary Family Health Center, Inc

  • Home Health Agency
  • New Orleans, LA
  • NPI 1023156833
  NPD (past)
• Contemporory Family Health Centers, Inc.

  • Community Health Clinic/Center
  • New Orleans, LA
  • NPI 1730202110
  NPD (past)
• Iberia Comprehensive Community Health Center, Inc.

  dba St. Martin Parish Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Martinville, LA
  • NPI 1821286899
  NPD (past)
• Osh-in Physicians Group, PC

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1073995338

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1356300776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SURREY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-456-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Dernier St",
            "address_purpose": "LOCATION",
            "city": "Saint Martinville",
            "state": "LA",
            "postal_code": "705823809",
            "country_code": "US",
            "telephone_number": "337-342-2566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5630 Read Blvd",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701273106",
            "country_code": "US",
            "telephone_number": "504-482-2080",
            "fax_number": "504-248-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705605727",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "567 Walker St",
            "address_purpose": "LOCATION",
            "city": "Merryville",
            "state": "LA",
            "postal_code": "706533040",
            "country_code": "US",
            "telephone_number": "337-825-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 N Robinson St",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493536",
            "country_code": "US",
            "telephone_number": "318-256-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "298 Nolan Trace Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "71446",
            "country_code": "US",
            "telephone_number": "337-392-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 12th St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705016224",
            "country_code": "US",
            "telephone_number": "337-534-0107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Charity St",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705105302",
            "country_code": "US",
            "telephone_number": "337-893-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Chef Menteur Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701265000",
            "country_code": "US",
            "telephone_number": "504-534-1227",
            "fax_number": "504-553-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "RENEE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.022772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1493040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Masters Hetherwick
• Jamie Michelle Hetzel, PHARMD
• Herbert Grant Hickle, PLPC
• Jennifer Erin Hicks, LOTR
• Katie Hicks
• Hannah Hebert Hidalgo, NP
• Suzanne Higginbotham, LMT
• William Higginbotham, D.C.
• Yolanda Citizen Higginbotham
• Seth Hilburn, OTR

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.

Verify at the official NPI Registry.