Active NPI
Emily Anne Hickerson, NNP-BC
- Neonatal Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 3012898
- Practice address
- 1740 Nicholasville Rd
Lexington, KY 40503-1431 - Phone
- (859) 260-6100
- NPI assigned
- Dec 9, 2016
- Last updated
- Dec 1, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642122 | CO | MD | Registered Nurse |
| APRN.CNP.023480 | OH | MD | Nurse Practitioner |
| 3012898 | KY | MD | Neonatal Nurse Practitioner |
| 0992646 | CO | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Children's Hospital Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Nurse Practitioner | Current | 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
- 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.
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
Nurse Practitioner
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
Nurse Practitioner
-
dba Norton Children's Neonatology Specialists
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
- NPI 1144862301
Nurse Practitioner
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
Nurse Practitioner
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.