Individual provider Active NPI

Emily Anne Hickerson, NNP-BC

  • Neonatal Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1356885305
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
3012898 Issued in KY
Practice address
1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone
(859) 260-6100
NPI assigned
Dec 9, 2016
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.023480 OH
Neonatal Nurse Practitioner 363LN0000X 3012898 KY Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X 0992646 CO
Registered Nurse 163W00000X 1642122 CO

Addresses

Primary practice location

1740 Nicholasville Rd
Lexington, KY 40503-1431

Mailing address

6131 Sweetbay Dr
Crestwood, KY 40014-7728
Phone (502) 609-3764

Other practice location 1

8308 Stonybridge Cir
Highlands Ranch, CO 80126-7011
Phone (502) 609-3764

Other practice location 2

3333 Burnet Avenue
MLC 1013
Cincinnati, OH 45229
Phone (513) 636-4466

Other practice location 3

6131 Sweetbay Dr
Crestwood, KY 40014-7728
Phone (502) 609-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181031001397 OH Practitioner - Nurse Practitioner 9537412044 Reassigns benefits to 1 organization
I20240110000573 KY Practitioner - Nurse Practitioner 9537412044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1642122COMDRegistered Nurse
APRN.CNP.023480OHMDNurse Practitioner
3012898KYMDNeonatal Nurse Practitioner
0992646COMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner Current Accepting new patients
Children's Hospital Medical Center Nurse Practitioner CurrentSince Sep 1, 2018 Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Norton Childrens Medical Group, LLC Nurse Practitioner Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

411 E Chestnut St
#2
Louisville, KY 40202

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#1013
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

Interoperability endpoints

  • Direct secure messaging: ehickerson63361@direct.nortonhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1356885305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 SWEETBAY DR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147728",
            "telephone_number": "502-609-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031431",
            "telephone_number": "859-260-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8308 Stonybridge Cir",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801267011",
            "country_code": "US",
            "telephone_number": "502-609-3764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Burnet Avenue",
            "address_2": "MLC 1013",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45229",
            "country_code": "US",
            "telephone_number": "513-636-4466",
            "fax_number": "513-636-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6131 Sweetbay Dr",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400147728",
            "country_code": "US",
            "telephone_number": "502-609-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023480",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "KY",
            "license": "3012898",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CO",
            "license": "0992646",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1642122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.