Nicole Lynn Hicks

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

716 Wayfield CT
Beavercreek, OH 45430-1476

Phone

(937) 304-5163

NPI assigned

Dec 22, 2020

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1396332573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WAYFIELD CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301476",
            "telephone_number": "937-304-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 WAYFIELD CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301476",
            "telephone_number": "937-304-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Hergenrather
• Joanna Herrberg, SLP
• Nicholas Herrin, PT, DPT
• Lexey Hetzel
• Catherine Hibbert
• Adam J Hill, PHARMD
• Chole Hilsdorf, APRN
• Lea Ann Hinkle
• Emma Lillian Hirshman, PT, DPT
• Tracey Lynn Hixon

• In Home Supportive Care Agency in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.