Ronita Hickman, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10202-16 Issued in WI

Practice address

520 Handeyside LN Ste 4
Fort Atkinson, WI 53538-1279

Phone

(920) 563-4372

Fax

(920) 563-4374

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rock River Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Atkinson, WI
  • NPI 1528244613
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1538946892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LN STE 4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381279",
            "telephone_number": "920-563-4372",
            "fax_number": "920-563-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HANDEYSIDE LN STE 4",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381279",
            "telephone_number": "920-563-4372",
            "fax_number": "920-563-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "RONITA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10202-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heatherlyn Assisted Living LLC
• Colleen S Hebert, O.D.
• Karla Heikkinen, RDN
• Kimberly Heine, MA, LPC
• Anne Hepperla
• Hidden Path Counseling, LLC
• Benjamin Hodges, PA-C
• Tracy A Hoerig, RN, MSN
• Alyce Anastasia Hofmann, O.D.
• William C. Hofmann, M.D.

• Dental Hygienist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.