Teresa Anne Hicks, RD
Individual provider Active NPI Registered Dietitian · Anchorage, AK
NPI 1497783302 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497783302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 95 (AK)
- Practice address
- 4315 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5926 - Phone
- (907) 729-3971
- Fax
- (907) 729-1542
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95 | AK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 95 | AK | Yes |
Addresses
Primary practice location
4315 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5926
Mailing address
4315 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5926
Phone (907) 729-3971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT0095 | Medicaid | AK |
Other providers in Anchorage, AK
- Bryan Hickok
- Shellie Irene Hickok
- Francis Lynn Hicks
- Rachel Hicks
- Taryn Hicks
- Zachary Wayne Hicks
- Margarita Hidalgo Mendez
- Hidden Heights Assisted Living, Inc.
- Sherry Lynn Higdon
- Alexandra Rae Higgins
All providers in Anchorage, AK · Registered Dietitian in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.