Active NPI
Alicia Hickson
- Medical Physician Assistant
- Minnetonka, MN
National Provider Identifier
1699302232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 13804
- Practice address
- 5810 Baker Rd Ste 100
Minnetonka, MN 55345-5941 - Phone
- (952) 546-5322
- NPI assigned
- Mar 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 13804 | MN | Primary |
Addresses
Primary practice location
5810 Baker Rd Ste 100
Minnetonka, MN 55345-5941
Mailing address
1250 Wayzata Blvd E
Wayzata, MN 55391-1951
Phone (763) 299-7111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13804 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rayma Health PLLC | Current | Accepting new patients |
Locations
5810 Baker Rd
Ste 100
Minnetonka, MN 55345
Phone (763) 299-7111
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1699302232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 WAYZATA BLVD E",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553911951",
"telephone_number": "763-299-7111",
"fax_number": "612-416-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 BAKER RD STE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455941",
"telephone_number": "952-546-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKSON",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "13804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.