Dina Hicks Herren, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN178293 Issued in GA

Practice address

1806 Lee Ave
Tifton, GA 31794-3639

Phone

(229) 386-1528

Fax

(229) 388-0556

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2015By 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 names 1

• Miss Dina Hicks Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• United Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Tifton, GA
  • NPI 1205847639
  Medicare reassignment NPD
• Womens Center for Advanced Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Tifton, GA
  • NPI 1295086049
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1548658107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 LEE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943639",
            "telephone_number": "229-386-1528",
            "fax_number": "229-388-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 LEE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943639",
            "telephone_number": "229-386-1528",
            "fax_number": "229-388-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "DINA",
        "middle_name": "HICKS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN178293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "HICKS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heart 2 Heart Reliable Transportation
• Edward William Hellman, MD
• Jennifer Lyn Helms
• Beth Hendley, LCSW
• Ana Margarita Hernandez Silen, MD
• Jennifer Herrin, LCSW
• Christina Rackley Herron, MS
• Benjamin R Hess, MD
• Robert A Hill, DDS
• Amelia Celeste Hillmon

• Family Nurse Practitioner in Tifton, GA
• Providers in Tifton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.