Active NPI
Jeannie Marie Hicks, DC
- Chiropractor
- Leesville, LA
National Provider Identifier
1740798198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1798
- Practice address
- 908 S 10TH St
Leesville, LA 71446-4614 - Phone
- (337) 404-4084
- Fax
- (337) 392-2580
- NPI assigned
- Jan 19, 2018
- Last updated
- Jan 19, 2018
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1798 | LA | Primary |
Addresses
Primary practice location
908 S 10TH St
Leesville, LA 71446-4614
Mailing address
1250 Belview Rd
Leesville, LA 71446-8736
Phone (337) 208-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-3415188 | Other | LA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1603 Boone St
Suite C
Leesville, LA 71446-5780
Phone (337) 377-0477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1740798198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 BELVIEW RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714468736",
"telephone_number": "337-208-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 S 10TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464614",
"telephone_number": "337-404-4084",
"fax_number": "337-392-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JEANNIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82-3415188",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.