Maryann Hickey, RN, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9370087 Issued in FL

Practice address

2703 Ponce Deleon
CVS Minute Clinic
St. Augustine, FL 32084

Phone

(186) 638-9272

Fax

(401) 652-9787

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1477654267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N. PONCE DELEON",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846538",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 PONCE DELEON",
            "address_2": "CVS MINUTE CLINIC",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32084",
            "telephone_number": "186-638-9272",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MARYANN",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00074500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9370087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Hernandez
• Joaquin Hernandez, M.D.
• Abla Herzalla
• Kathryn Ruth Hessi, M.S. CCC-SLP
• Cameron Heustis
• Samantha Jayne Hickey, LMHC
• Stephanie L Hicks, PA-C
• High Power Diagnosis
• Amanda Hill, APRN-C
• Felicia Hill

• Family Nurse Practitioner in St. Augustine, FL
• Providers in St. Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.