Marietta Marie Hickman, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

95068429 Issued in CA

Practice address

37706 Red Robin Rd
Murrieta, CA 92563-4758

Phone

(951) 837-5200

NPI assigned

Dec 28, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1497468185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37706 RED ROBIN RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634758",
            "telephone_number": "951-837-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37706 RED ROBIN RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634758",
            "telephone_number": "951-837-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "MARIETTA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CA",
            "license": "95068429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abril Herrera
• Ilissa Herrera
• Jessica Marie Herrera
• Patricia Anne Herrin-Cantrell
• Kaitlin Herrin, SLPA
• Christine Hicks
• Robert Hicks
• Alejandra Hidalgo-Chavez
• Jessica Denise Hidrogo
• Renee Higa-Tanner

• Infection Control Registered Nurse in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Infection Control Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.