Freddie Hicks, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123341 Issued in AR

Practice address

1090 Arnold Dr
Little Rock AFB, AR 72099-5001

Phone

(501) 987-2932

NPI assigned

Jun 19, 2020

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Wound Specialists, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1891645461
  Medicare reassignment NPD
• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214

  Family

  Medicare reassignment NPD
• Healogics Specialty Physicians of Arkansas, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, AR
  • NPI 1538561436
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR

  Medicare reassignment NPD
• Wound Solutions of Nwa, LLC

  • Clinic/Center
  • Rogers, AR
  • NPI 1043904261
  NPD (past)
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)
• Southeast Arkansas Five Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1952069759
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1407472020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DR",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720994933",
            "telephone_number": "501-987-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ARNOLD DR",
            "city": "LITTLE ROCK AFB",
            "state": "AR",
            "postal_code": "720995001",
            "telephone_number": "501-987-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "FREDDIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Hansen, D.O.
• Marilyn Jeanne Hardy, RDH
• Susanne Havel, CPNP
• Andrew M Hefner, PT, DPT
• Keisha Denythia Henry, PH.D.
• Emily M Holmes, LCSW
• Patricia Ellen Hoogeveen, O.D.
• Catrina Yvette Horn, LCSW
• Joel Hutchison, DO
• Melrita Maechel Johnson, LCSW

• Family Nurse Practitioner in Little Rock AFB, AR
• Providers in Little Rock AFB, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.