Active NPI
Kristina Noelle Cecelia Hicks
- Driver
- Lake Wales, FL
National Provider Identifier
1629908272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- PO Box 3731
Lake Wales, FL 33859-3731 - Phone
- (863) 280-7578
- NPI assigned
- May 22, 2026
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | FL | Primary |
Addresses
Primary practice location
PO Box 3731
Lake Wales, FL 33859-3731
Mailing address
PO Box 3731
Lake Wales, FL 33859-3731
Phone (863) 280-7578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343900000X | Medicaid | FL |
Other names 1
- Thomas Martin Bonds
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1629908272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3731",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338593731",
"telephone_number": "863-280-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 3731",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338593731",
"telephone_number": "863-280-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "KRISTINA",
"middle_name": "NOELLE CECELIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343900000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "BONDS",
"middle_name": "MARTIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.