Kirsten Hickerson, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

RN321512L Issued in PA

Practice address

370 Lancaster Ave
Haverford, PA 19041-1336

Phone

(610) 896-1089

Fax

(215) 230-7599

NPI assigned

Oct 27, 2011

Last updated

Oct 27, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Haverford College Health Services

  • College Health Registered Nurse
  • Haverford, PA
  • NPI 1255626529
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1528344165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "19041",
            "telephone_number": "610-896-1089",
            "fax_number": "215-230-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411336",
            "telephone_number": "610-896-1089",
            "fax_number": "215-230-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "KIRSTEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "PA",
            "license": "RN321512L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKED WITH HAVERFORD COLLEGE GRP NPI",
            "identifier": "1255626529",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haverford College Health Services
• Haverford Dental Specialists PC (Haverford Smiles)
• Haverford Family Medicine
• Linda D Heckman, PA-C
• William Joseph Heran, PH.D., LCSW
• Cara K Hillwig, DC
• Erica Penn Hoffman, LCSW-C
• Alexis C Hollander, M.D.
• Home Access Rehabilitation LLC
• Jennifer Hong

• College Health Registered Nurse in Haverford, PA
• Providers in Haverford, PA by specialty
• College Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.