Kelsey Hicks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-43494 Issued in GA

Practice address

130 Canal St Ste 404
Pooler, GA 31322-4088

Phone

(912) 988-1444

NPI assigned

Apr 26, 2018

Sex

Female

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

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1801384748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 LIN DO CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501832",
            "telephone_number": "803-905-4427",
            "fax_number": "803-905-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CANAL ST STE 404",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224088",
            "telephone_number": "912-988-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "17-43494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Henrich, OTR/L
• Michele Henson, MD
• Francisco J Herran, MD
• William Allen Herren, OD
• Shana K Herring
• Lacy Hicks, LPC
• Jessika Beth Highers, MA, I-CADC, CADC
• Richard Russell Hightower Jr., M.D.
• Modest Hill
• Hilton Head Regional Physician Network - Georgia, LLC (Riverside Womens Care)

• Behavior Technician in Pooler, GA
• Providers in Pooler, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.