Active NPI
Cindy Laurie Hicks, DPM
- Podiatrist
- Aiea, HI
National Provider Identifier
1376588988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO171
- Practice address
- 99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932 - Phone
- (808) 487-6903
- Fax
- (808) 487-6906
- NPI assigned
- Jun 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO171 | HI | Primary |
Addresses
Primary practice location
99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932
Mailing address
99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932
Phone (808) 487-6903
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000251579 | Other | HI | HMSA |
| 565898 | Medicaid | HI | |
| 5779619 | Other | HI | UHA |
| 521671 | Other | HI | HMN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO171 | HI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1376588988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR",
"address_2": "SUITE 205",
"city": "AIEA",
"state": "HI",
"postal_code": "967013932",
"telephone_number": "808-487-6903",
"fax_number": "808-487-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR",
"address_2": "SUITE 205",
"city": "AIEA",
"state": "HI",
"postal_code": "967013932",
"telephone_number": "808-487-6903",
"fax_number": "808-487-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "CINDY",
"middle_name": "LAURIE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "HI",
"license": "PO171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000251579",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "565898",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "5779619",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMN",
"identifier": "521671",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.