Laura Lytton Hickmond, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

080046486N7 Issued in OR

Practice address

1247 NE Medical Center Dr
Suite C
Bend, OR 97701-3786

Phone

(541) 318-4249

Fax

(541) 388-3832

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1699081372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19527 HOLLYGRAPE ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022914",
            "telephone_number": "541-389-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 NE MEDICAL CENTER DR",
            "address_2": "SUITE C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013786",
            "telephone_number": "541-318-4249",
            "fax_number": "541-388-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMOND",
        "first_name": "LAURA",
        "middle_name": "LYTTON",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "080046486N7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Hewitt
• Sian Jessica Heyworth, APRN-NP
• William Charles Hiatt
• Breyn M Hibbs, CRM
• Ellie Hickle, LMT
• Kalah Irene Hickox
• Alicia J Hicks, PA-C
• Austin Hicks
• Dan Hicks, LPC
• Mason Hicks

• Women's Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.