Brandi Janelle Hickman

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

8706 Newton Ave Apt 4101
Kansas City, MO 64138-5461

Phone

(816) 665-5378

NPI assigned

Oct 21, 2020

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

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1609475516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 NEWTON AVE APT 4101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641385461",
            "telephone_number": "816-665-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 NEWTON AVE APT 4101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641385461",
            "telephone_number": "816-665-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8706 Newton Ave Apt 4101",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641385461",
            "country_code": "US",
            "telephone_number": "816-665-5378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "BRANDI",
        "middle_name": "JANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hickman Mills C-1 School District
• Hickman Mills C-1 School District
• Hickman Mills C-I School District
• Hickman Mills Clinic, Inc.
• Amanda E. Hickman, D.C.
• Dianna Lynn Hickman, M.D.
• Kristin Marie Hickman, NP
• Wendy Hickman, LCSW
• Virgie Hickmon, APRN BC
• Brenton Deshawn Hicks, DC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.