Active NPI
Shereya Hicks
- Behavior Technician
- Decatur, AL
National Provider Identifier
1730913922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1145500
- Practice address
- 1690 Beltline Rd SW
Decatur, AL 35601-5616 - Phone
- (256) 278-5782
- NPI assigned
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1145500 | AL | Primary |
Addresses
Primary practice location
1690 Beltline Rd SW
Decatur, AL 35601-5616
Mailing address
1690 Beltline Rd SW
Decatur, AL 35601-5616
Phone (256) 278-5782
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 |
|---|---|---|---|
| 1145500 | AL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1730913922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015616",
"telephone_number": "256-278-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015616",
"telephone_number": "256-278-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "SHEREYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": "1145500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
- HH Health System Morgan (Manifold GYN Associates)
- HH Health System-Morgan Inc. (Milestone Pediatrics)
- HH Health System-Morgan Inc. (North Alabama Gastroenterology)
- HH Health System-Morgan Inc. (Urogynecology Center of North Alabama)
- HH Health Systems-Morgan Inc. (Parkway Women's Care)
- Highlands Internal Medicine LLC
- Annie Ruth Hill, RN
- Denaja J Hill, RBT
- Jody M Hill, RBT
- Jonathan E Hill, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.