Individual provider Active NPI

Linda L Hice, CMF

  • Anaplastologist
  • Shelby, NC
National Provider Identifier
1487690004
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AnaplastologistTaxonomy code 229N00000X
License
CFM00159 Issued in NC
Practice address
1100 S Lafayette Street
Shelby, NC 28152-6708
Phone
(704) 482-9938
Fax
(704) 600-6433
NPI assigned
Jun 21, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anaplastologist 229N00000X CFM00159 NC Primary

Addresses

Primary practice location

1100 S Lafayette Street
Shelby, NC 28152-6708

Mailing address

1100 S Lafayette Street
Shelby, NC 28152-6708
Phone (704) 482-9938

Other identifiers 3

IdentifierTypeStateIssuer
0186635OtherNCCIGNA
045JCOtherNCBLUE CROSS BLUE SHIELD
7703297MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
CFM00159NCMDAnaplastologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1487690004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S LAFAYETTE STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526708",
            "telephone_number": "704-482-9938",
            "fax_number": "704-600-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S LAFAYETTE STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526708",
            "telephone_number": "704-482-9938",
            "fax_number": "704-600-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICE",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": "NC",
            "license": "CFM00159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0186635",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "045JC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.