Alena Jenae Hickman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86046304 Issued in MI

Practice address

22260 Woodwill St
Southfield, MI 48075-8304

Phone

(248) 250-2376

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1689146615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22260 WOODWILL ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22260 WOODWILL ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758304",
            "telephone_number": "248-250-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "ALENA",
        "middle_name": "JENAE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MI",
            "license": "86046304",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86046304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittinie Hetzman
• Satrina Heuton
• HFHS Center for Autism and Developmental Disabilities
• Hi-Tech Rehabilitation Services
• Ricardo Hickinson, OD
• Diane M Hickox, RNC, CNNP
• Jailyn Noelle Hicks, MD
• James Larry Hicks
• Courtney Christine Hige, PA-C
• William Higginbotham III, MD

• Registered Dietitian in Southfield, MI
• Providers in Southfield, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.