Lizbeth Nan Hildesheim

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

201230990 Issued in KY

Practice address

1080 Optimist Rd
Elizabethtown, KY 42701-6150

Phone

(270) 723-2612

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1790527018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 OPTIMIST RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016150",
            "telephone_number": "270-723-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 OPTIMIST RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016150",
            "telephone_number": "270-723-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDESHEIM",
        "first_name": "LIZBETH",
        "middle_name": "NAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "201230990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Hickerson, LCSW
• Joelie Elizabeth Hicks
• Mary Hicks, MBA, CADC
• Racheal Nacole Higdon, APSS
• Gerald Hignite
• Leah E Hiles, PTA
• Karen L Hill, COTA
• Stephen Walter Hill, MA
• Debra L Hines, OT
• S Gayle Hinkle, ARNP

• Developmental Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.