Active NPI
Lindsey Alexis Hickey, APN
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209006471
- Practice address
- 1276 N Clybourn Ave
Chicago, IL 60610-2089 - Phone
- (312) 337-1076
- Fax
- (312) 337-7616
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 1, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209006471 | IL | Primary |
Addresses
Primary practice location
1276 N Clybourn Ave
Chicago, IL 60610-2089
Mailing address
1276 N Clybourn Ave
Chicago, IL 60610-2089
Phone (312) 337-1076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309003354 | Other | IL | CONTROLLED SUBSTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
5308 Harroun Rd
Suite 150
Sylvania, OH 43560-2174
Phone (419) 824-5640
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006471 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Toledo Hospital | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| The Toledo Hospital | Past | Accepting new patients |
Locations
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2150 W Central Ave
Ste D
Toledo, OH 43606
Phone (419) 291-2192
Interoperability endpoints
- lhickey7618@direct.promedica.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
-
- Emergency Medicine Physician
- Maumee, OH
- NPI 1356015564
-
dba ProMedica Outpatient Pharmacy
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1467618819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102089",
"telephone_number": "312-337-1076",
"fax_number": "312-337-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102089",
"telephone_number": "312-337-1076",
"fax_number": "312-337-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "LINDSEY",
"middle_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209006471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "309003354",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.