Active NPI
Epiphany Hicks
- Homemaker
- Portland, OR
National Provider Identifier
1457879272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 945 NW Naito Pkwy Apt 535
Portland, OR 97209-4718 - Phone
- (678) 933-3944
- NPI assigned
- Aug 31, 2017
- Last updated
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | NU | Primary |
Addresses
Primary practice location
945 NW Naito Pkwy Apt 535
Portland, OR 97209-4718
Mailing address
1615 NE Fremont St
Portland, OR 97212-2336
Phone (503) 560-5089
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1457879272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 NE FREMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122336",
"telephone_number": "503-560-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 NW NAITO PKWY APT 535",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972094718",
"telephone_number": "678-933-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "EPIPHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.