Lelisa Hika

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

202000195RN Issued in OR

Practice address

2700 NE 17TH St
Gresham, OR 97030-4406

Phone

(813) 407-3430

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Care 24 LLC

  • Registered Nurse
  • Portland, OR
  • NPI 1225849151
  Authorized official Same address or phone

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1750913950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NE 17TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304406",
            "telephone_number": "813-407-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NE 17TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304406",
            "telephone_number": "813-407-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27446 Sugar Loaf Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335448639",
            "country_code": "US",
            "telephone_number": "813-407-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIKA",
        "first_name": "LELISA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202000195RN",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "202000195RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DON'T HAVE THEM",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://mail.google.com/mail/u/1/#inbox",
            "affiliation": "N",
            "endpointDescription": "mcareach@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 NE 17th St",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970304406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evan C Hiatt, CADCR/CRM/PSS/QMHA-R
• Maryellen Hibbard, FNP
• Douglas K. Hicks, PH.D.
• Michelle Hicks
• Cheryl Higgins, LMT
• Christopher James Hill, LMFT
• Matthew J Hill
• Hillcrest Chiropractic Clinic
• Howard E Hilman, DMD
• Gina Hindenach, MS, OTR/L

• Community Health Registered Nurse in Gresham, OR
• Providers in Gresham, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.