Active NPI
Janet G Hickman, M.D.
- Dermatology Physician
- Lynchburg, VA
National Provider Identifier
1740234756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101030859
- Practice address
- 1330 Oak LN
Suite 101
Lynchburg, VA 24503-2513 - Phone
- (434) 847-6132
- Fax
- (434) 845-4870
- NPI assigned
- May 22, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101030859 | VA | Primary |
| Dermatopathology Physician | 207ND0900X | 0101030859 | VA | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 0101030859 | VA | |
| Pediatric Dermatology Physician | 207NP0225X | 0101030859 | VA | |
| Procedural Dermatology Physician | 207NS0135X | 0101030859 | VA |
Addresses
Primary practice location
1330 Oak LN
Suite 101
Lynchburg, VA 24503-2513
Mailing address
1330 Oak LN
Suite 101
Lynchburg, VA 24503-2513
Phone (434) 847-6132
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1771885 | Other | VA | CIGNA |
| 5940460 | Medicaid | VA | |
| 310024 | Other | VA | SOUTHERN HEALTH |
| 085434 | Other | VA | ANTHEM |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101030859 | VA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1740234756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 OAK LN",
"address_2": "SUITE 101",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032513",
"telephone_number": "434-847-6132",
"fax_number": "434-845-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 OAK LN",
"address_2": "SUITE 101",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032513",
"telephone_number": "434-847-6132",
"fax_number": "434-845-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "JANET",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101030859",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "VA",
"license": "0101030859",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "VA",
"license": "0101030859",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "VA",
"license": "0101030859",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "VA",
"license": "0101030859",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1771885",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5940460",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "310024",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "085434",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.