Active NPI
Ahilya Deshpande Hickcox, AGNP-C
- Nurse Practitioner
- Boston, MA
National Provider Identifier
1376164897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7321
- Practice address
- 1055 Commonwealth Ave
Boston, MA 02215-1001 - Phone
- (617) 295-7235
- Fax
- (844) 791-0108
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7321 | MN | Primary |
Addresses
Primary practice location
1055 Commonwealth Ave
Boston, MA 02215-1001
Mailing address
1055 Commonwealth Ave
Boston, MA 02215-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG07190013 | Other | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826000896 | MA | Order and Referring Only - Nurse Practitioner | 7012323371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7321 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1376164897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151001",
"fax_number": "844-791-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151001",
"telephone_number": "617-295-7235",
"fax_number": "844-791-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKCOX",
"first_name": "AHILYA",
"middle_name": "DESHPANDE",
"credential": "AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
"identifier": "AG07190013",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.