Active NPI
Denni Levi-Paulk Hickman
- Speech-Language Pathologist
- Columbia, LA
National Provider Identifier
1609643709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9168
- Practice address
- 7112 US Hwy 165
Columbia, LA 71418 - Phone
- (318) 649-2689
- Fax
- (318) 649-6184
- NPI assigned
- Dec 8, 2023
- Last updated
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9168 | LA | Primary |
Addresses
Primary practice location
7112 US Hwy 165
Columbia, LA 71418
Mailing address
7112 US Hwy 165
Columbia, LA 71418
Phone (318) 649-2689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9168 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1609643709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7112 US HWY 165",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "71418",
"telephone_number": "318-649-2689",
"fax_number": "318-649-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7112 US HWY 165",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "71418",
"telephone_number": "318-649-2689",
"fax_number": "318-649-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "DENNI",
"middle_name": "LEVI-PAULK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, LA
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- Haven Nursing Center, Inc
- Haven Rehabilitation Center Inc
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- Megan Laird Hemphill, FNP
- Erica Hill
- Hospital Service District No. 1 Caldwell Parish (Citizens Medical Center)
- Hospital Service District No. 1 Caldwell Parish (Citizens Medical Center)
- Hospital Service District No. 1 Caldwell Parish (Citizens Specialty Clinic)
- Hospital Service District No. 1 of Caldwell Parish (Citizens Rural Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.