Active NPI
Darius Hickman Jr.
- Case Manager/Care Coordinator
- Slidell, LA
National Provider Identifier
1669888418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451 - Phone
- (985) 649-1001
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451
Mailing address
1615 Poydras St Ste 900
New Orleans, LA 70112-1282
Phone (855) 732-9585
Other practice location 1
3450 Broadway St
Boulder, CO 80304-1824
Phone (303) 441-1100
Other practice location 2
2626 Charles Dr
Chalmette, LA 70043-3779
Phone (504) 278-4006
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": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1669888418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 POYDRAS ST STE 900",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121282",
"telephone_number": "855-732-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 GAUSE BLVD E STE 150",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615451",
"telephone_number": "985-649-1001"
}
],
"practiceLocations": [
{
"address_1": "3450 Broadway St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803041824",
"country_code": "US",
"telephone_number": "303-441-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2626 Charles Dr",
"address_purpose": "LOCATION",
"city": "Chalmette",
"state": "LA",
"postal_code": "700433779",
"country_code": "US",
"telephone_number": "504-278-4006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKMAN",
"first_name": "DARIUS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.