Active NPI
Dianna Lynn Hickman, M.D.
- Obstetrics Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G03803
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-3584
- Fax
- (813) 932-5873
- NPI assigned
- Jul 19, 2005
- Last updated
- Mar 17, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 107834 | MO | |
| Obstetrics Physician | 207VX0000X | G03803 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131-4517
Phone (816) 599-9499
Other names 1
- Dr. Lynn Cargill-Hickman
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107834 | MO | MD | Specialist |
| G03803 | MO | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Obstetrics & Gynecology, Inc. | Specialist | Current | Accepting new patients |
Locations
2529 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7820
2529 Glenn Hendren Dr
#20
Liberty, MO 64068
2529 Glenn Hendren Dr
Ste 200
Liberty, MO 64068
Phone (816) 781-7820
Interoperability endpoints
- dianna.cargill-hickman@cernerdirect.coxhealth.com
Organizations & group practices 1
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.
-
- Specialist
- Liberty, MO
- NPI 1366427783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1417956897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-599-9499",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-3584",
"fax_number": "813-932-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "DIANNA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "107834",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MO",
"license": "G03803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "CARGILL-HICKMAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.