Betty Yount Hicks, LRD, RN, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

803661

Practice address

130 Blandina CT
Fort Mill, SC 29708-6433

Phone

(704) 984-0646

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1740877281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BLANDINA CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086433",
            "telephone_number": "704-984-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BLANDINA CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086433",
            "telephone_number": "704-984-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BETTY",
        "middle_name": "YOUNT",
        "credential": "LRD, RN, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "98322",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "98322",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "803661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Herring, MD
• Schrita Paulette Herriott, FNP-BC
• Abigail Elizabeth Herron, PT, DPT
• Paul Hess
• Joshua Heuck, DPT
• Holli Michelle Hill, D.O.
• Carrie Jayne Hinnant, MA, CCC-SLP, BCBA
• Brooklyn Hinson, RBT
• Historic Paradise Foundation NFP
• Khalilah Hobbs

• Registered Dietitian in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.