Chad R Hickerson, MAOD

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

2250 Soquel Ave
Santa Cruz, CA 95062-1402

Phone

(831) 600-2801

Fax

(831) 600-2801

NPI assigned

Feb 12, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1760982128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621402",
            "telephone_number": "831-600-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621402",
            "telephone_number": "831-600-2801",
            "fax_number": "831-600-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "CHAD",
        "middle_name": "R",
        "credential": "MAOD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lynn Hetherington, PT
• Douglas Hetzler, M.D.
• Brittany Heyano, OD
• Orly Heyman-Bole, MA.ET,CHT,LMFT
• Rebecca Heymann, OTD, OTR/L
• Samantha Hickok
• Kim Ives Hicks, MFT
• Nicholas Hicks, DC
• Sara Higgs
• Dylan Cypress Hildebrandt

• Nursing Home Administrator in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.