Martha Hicks, SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12055782 Issued in CO

Practice address

1176 Riddlewood LN
Highlands Ranch, CO 80129-6990

Phone

(303) 949-4434

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marcy Hicks Other name

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1710069984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 RIDDLEWOOD LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296990",
            "telephone_number": "303-949-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 RIDDLEWOOD LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296990",
            "telephone_number": "303-949-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MARTHA",
        "credential": "SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "12055782",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12055782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERT MTN AFFLIATE",
            "identifier": "CPR",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "HICKS",
            "credential": "SP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Molly Sue Hertz, PT, DPT
• HHDS Solutions LLC
• Zachary Hibbard
• Amy Hicks, SLP,
• Andrew Forrest Hicks, D.C.
• Ruth A Higgins, RN
• Higher Prana LLC
• Highlands Behavioral Health System
• Highlands Foot and Ankle Clinic
• Highlands Ranch Center for Aesthetic & Maxillofacial Surgery

• Speech-Language Pathologist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.