Active NPI
Suzanne Hickman, SLP
- Speech-Language Pathologist
- Seneca, PA
National Provider Identifier
1437160793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL004076L
- Practice address
- 224 S Main St
Suite 210
Seneca, PA 16346 - Phone
- (814) 677-1390
- Fax
- (814) 677-1393
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL004076L | PA | Primary |
Addresses
Primary practice location
224 S Main St
Suite 210
Seneca, PA 16346
Mailing address
1652 Fertigs Rd
Venus, PA 16364
Phone (814) 354-2305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HI1853555 | Other | PA | BLUE SHIELD |
| 0018718240003 | Medicaid | PA |
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 |
|---|---|---|---|
| SL004076L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437160793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 FERTIGS RD",
"city": "VENUS",
"state": "PA",
"postal_code": "16364",
"telephone_number": "814-354-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S MAIN ST",
"address_2": "SUITE 210",
"city": "SENECA",
"state": "PA",
"postal_code": "16346",
"telephone_number": "814-677-1390",
"fax_number": "814-677-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "SUZANNE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL004076L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "HI1853555",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018718240003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.