Tracy Lynn Hickman, CST, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

107076 Issued in NU

Practice address

1717 W Woolbright Rd
Boynton Beach, FL 33426-6319

Phone

(561) 737-8031

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By 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 1

Addresses

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1457626210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 LEE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616126",
            "telephone_number": "561-379-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266319",
            "telephone_number": "561-737-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CST, CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": "107076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Hernandez, RN, BSN
• Milena Herrera
• Tal Hershkovitz
• Craig M Hescheles, DMD
• HH Stuart LLC
• Hicks Health MD
• Eduardo Antonio Hidalgo, M.D.
• Hien B Nguyen MD PA
• Highfive Endodontics Florida, P.a. (Silberman Endodontics)
• Highplains Medical Supply Co

• Surgical Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.