Laurie Ann Hicklin

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

6765 Green Valley Rd
Placerville, CA 95667

Phone

(530) 622-5551

Fax

(530) 622-5800

NPI assigned

Jul 9, 2019

Last updated

Apr 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1518519685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 GREEN VALLEY RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-622-5551",
            "fax_number": "530-622-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 GREEN VALLEY RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-622-5551",
            "fax_number": "530-622-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLIN",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "530-919-2972",
            "affiliation": "N",
            "endpointDescription": "cell phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "768 Pleasant Valley Rd # Ca95619",
            "city": "Diamond Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956199260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marlene Marie Hensley, LCSW
• Heather Heritage, LCSW
• Carol Anne Herrlie, RN, FNP
• Deborah Krista Herron
• Lori S Heuser, PA-C
• Jannavie Dawn Hickman, M.A.
• Eric Hill, RAD-T
• Carl Michael Hillendahl, D.D.S.
• Leslie Akemi Hiroshima, PT
• Kayli Hirsty

• Rehabilitation Practitioner in Placerville, CA
• Providers in Placerville, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.