Lakiesha Young Hicks, HAIR LOSS SPECIALIST

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

209 Samford Ave
Opelika, AL 36801-3121

Phone

(334) 332-2150

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hair Loss Center of Alabama

  • Durable Medical Equipment & Medical Supplies
  • Opelika, AL
  • NPI 1669145348
  NPD Authorized official
• Hair Loss Center of Alabama

  • Prosthetic/Orthotic Supplier
  • Opelika, AL
  • NPI 1720753254
  NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1609460476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 LEE ROAD 393",
            "city": "NOTASULGA",
            "state": "AL",
            "postal_code": "368662104",
            "telephone_number": "334-332-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAMFORD AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368013121",
            "telephone_number": "334-332-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG HICKS",
        "first_name": "LAKIESHA",
        "name_prefix": "Mrs.",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-02-20",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wyatt
• Gautam Yadla, MD
• Caroline Yeargan, CRNP
• Minsoo Yeo, DMD
• Kathy Yosten, LCSW
• Brian Clay Young, NURSE PRACTITIONER
• Lisa Dyer Young, M.D.
• Marc T Young, PHARMD
• Sadie Smith Young
• Laura Zambrana

• Durable Medical Equipment & Medical Supplies in Opelika, AL
• Providers in Opelika, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.