Jamara Hicks

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

D552759ADC Issued in CA

Practice address

2361 Bass Lake Rd Apt 1024
Cameron Park, CA 95682-9638

Phone

(916) 265-0910

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1568345478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 S LAND PARK DR # 887",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958223313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 BASS LAKE RD APT 1024",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829638",
            "telephone_number": "916-265-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "D552759ADC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harprit K. Bajwa, D.P.M., Inc
• Steven Lee Harrity, P.T.
• Ann Lee Haslund, M.F.T
• Alex S Haydon, MA
• Jeffrey J Henefeld, PA-C
• James M Holt, F.N.P.
• Mark E. Holthouse, M.D.
• Sarah M Howlett
• Debra Ann Ialeggio, MFT
• Infant Parent Center

• Health & Wellness Coach in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.