Hillary E Liddick, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

092840-23 Issued in NH

Practice address

111 Saranac St Ste 164
Littleton, NH 03561-4088

Phone

(603) 601-4101

NPI assigned

Aug 29, 2017

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

Other names 1

• Hillary Pawulak Former name

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1639696792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SARANAC ST STE 164",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614088",
            "telephone_number": "603-601-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SARANAC ST STE 164",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614088",
            "telephone_number": "603-601-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDICK",
        "first_name": "HILLARY",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "1010132681",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "092840-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "PAWULAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah A Lavoie, PHD, CHES
• Philip Hugh Irving Lawson, MD
• Richard A Ledoux III, BA
• Cheryl Ann Legg, R.PH.
• Lesley Wotton
• Carol Frances Lidstrom, MD
• Paul D Lidstrom, MD
• Lighthouse Radiology, PLLC
• Mark Edward Lindberg
• Littleton Dentures & Implants PLLC

• Psychiatric/Mental Health Nurse Practitioner in Littleton, NH
• Providers in Littleton, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.