Olivia Alverda Jeanette Hiddemen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0012106 Issued in DE

Practice address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Phone

(302) 733-2410

Fax

(302) 733-2602

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Olivia Hiddemen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1386497709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 KINGSRIDGE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102712",
            "telephone_number": "302-494-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-2410",
            "fax_number": "302-733-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDDEMEN",
        "first_name": "OLIVIA",
        "middle_name": "ALVERDA JEANETTE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "HIDDEMEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• April Lea Hickerson, L.C.S.W.
• Cynthia Carol Hickey, FNP-C
• Katy Hickman
• Jevon Z Hicks
• Kathleen Patrice Hidalgo, PT
• Melanie Hiester, FNP
• Jeannie Higgin
• Amber May Higgins, MD
• Christopher Ian Higginson, PH.D.
• Rosalyn Hightower, PA-C

• Physician Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.