Amy Hicks, MSN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129296 Issued in TX

Practice address

713 N 4TH St
Longview, TX 75601-5412

Phone

(903) 932-1973

NPI assigned

Aug 4, 2015

Last updated

Apr 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahicks@bim.gwaydirect.com

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.

• Brookridge Internal Medicine Associates, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Longview, TX
  • NPI 1396796553
  Medicare reassignment NPD
• Rheumatology Association of Longview, PLLC

  • Rheumatology Physician
  • Longview, TX
  • NPI 1205026432
  Medicare reassignment NPD
• Prosthetic-Orthotic Associates of East Texas, Inc.

  • Prosthetic/Orthotic Supplier
  • Longview, TX
  • NPI 1083592364
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1356727077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015412",
            "telephone_number": "903-932-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015412",
            "telephone_number": "903-932-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "AMY",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129296",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "695081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hervey & Bethard Inc.
• Brittany Lin Hess
• Christy Hester
• Kamri Hickerson, MPAS, PA-C
• Hickory Longview LLC (Hickory Treatment Center at Longview)
• Kimberly Hicks
• Latrinda Jeniece Hicks
• Tracy Hicks, APRN, FNP/PMHNP-BC
• Lana Lynne Higginbotham, M. ED., CCC-SLP
• Higgs Foster Care

• Family Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.