Active NPI
Rosanne Hickman, RN, BSN, MA, LPC
- Psychiatric/Mental Health Registered Nurse
- Columbus, OH
National Provider Identifier
1720307697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN.143545-COA1
- Practice address
- 1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222 - Phone
- (614) 274-1455
- Fax
- (614) 274-2040
- NPI assigned
- May 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0000155 | OH | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.143545-COA1 | OH | Primary |
Addresses
Primary practice location
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Mailing address
1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222
Phone (614) 274-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200008 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0000155 | OH | MD | Professional Counselor |
| RN.143545-COA1 | OH | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1720307697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43222",
"telephone_number": "614-274-1455",
"fax_number": "614-274-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43222",
"telephone_number": "614-274-1455",
"fax_number": "614-274-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "ROSANNE",
"credential": "RN, BSN, MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0000155",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.143545-COA1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0200008",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.