Active NPI
Patricia Rogers Hicks, SLP
- Speech-Language Pathologist
- Concord, NH
National Provider Identifier
1376724914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0021
- Practice address
- 131 Shaker Rd
Concord, NH 03301-6938 - Phone
- (603) 224-3886
- Fax
- (603) 226-0257
- NPI assigned
- Nov 26, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0021 | NH | Primary |
Addresses
Primary practice location
131 Shaker Rd
Concord, NH 03301-6938
Mailing address
131 Shaker Rd
Concord, NH 03301-6938
Phone (603) 224-3886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30401076 | Medicaid | NH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1376724914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SHAKER RD",
"city": "CONCORD",
"state": "NH",
"postal_code": "033016938",
"telephone_number": "603-224-3886",
"fax_number": "603-226-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SHAKER RD",
"city": "CONCORD",
"state": "NH",
"postal_code": "033016938",
"telephone_number": "603-224-3886",
"fax_number": "603-226-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "PATRICIA",
"middle_name": "ROGERS",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30401076",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.