Active NPI
Christine A Hickey, FNP-C
- Family Nurse Practitioner
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01078700
- Practice address
- 415 W Landis Ave
Vineland, NJ 08360-8135 - Phone
- (856) 696-5340
- NPI assigned
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR22115800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ01078700 | NJ | Primary |
Addresses
Primary practice location
415 W Landis Ave
Vineland, NJ 08360-8135
Mailing address
1501 Old Black Horse Pike Apt Z10
Blackwood, NJ 08012-4921
Phone (765) 760-5336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300025601 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | chickey@NJhealthteam.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 W Landis Ave
Suite 100
Vineland, NJ 08360-8124
Phone (856) 696-5340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR22115800 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Pulse Vascular, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| New Jersey Cuidado Casero Hospice LLC | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
2600 Greenbush St
Lafayette, IN 47904
1 Walter Scholer Dr
Lafayette, IN 47909
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
994 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 696-0900
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
415 W Landis Ave
Ste 100
Vineland, NJ 08360
Phone (856) 696-5340
Organizations & group practices 6
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.
-
- Community Based Hospice Care Agency
- Vineland, NJ
- NPI 1922246438
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1306500764
-
- Vascular & Interventional Radiology Physician
- Vineland, NJ
- NPI 1255899704
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1659838464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 OLD BLACK HORSE PIKE APT Z10",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080124921",
"telephone_number": "765-760-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W LANDIS AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083608135",
"telephone_number": "856-696-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR22115800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01078700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300025601",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "chickey@NJhealthteam.com",
"affiliation": "N",
"endpointDescription": "professional",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "415 W Landis Ave",
"city": "Vineland",
"state": "NJ",
"country_code": "US",
"postal_code": "083608135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.