Nina Hickson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703089620 Issued in MI

Practice address

630 Walnut St
Alpena, MI 49707-1832

Phone

(989) 356-6649

Fax

(989) 356-3559

NPI assigned

Nov 29, 2016

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunrise Centre Inc

  • Substance Abuse Rehabilitation Facility
  • Alpena, MI
  • NPI 1235297623
  NPD (past)
• Sunrise Centre, Inc

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1023556099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1467995191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WALNUT ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071832",
            "telephone_number": "989-356-6649",
            "fax_number": "989-356-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WALNUT ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071832",
            "telephone_number": "989-356-6649",
            "fax_number": "989-356-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "NINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703089620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Henning
• Theresa Henry, BACHLELOR
• Chelsea Herbek, LBSW
• Andrea Hering
• Nicole Marie Herman, MA LLPC
• Marissa Lynn Hill, DO
• Amanda Hilton
• Colette Hinrichs
• William A Hitzelberger Jr., D.O.
• Hailey Elizabeth Hochrein, LLBSW

• Licensed Practical Nurse in Alpena, MI
• Providers in Alpena, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.