Shateea Martha Hicks

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

342941-01 Issued in NY

Practice address

2920 W 21St St Apt 9Q
Brooklyn, NY 11224-2967

Phone

(929) 392-3008

NPI assigned

Aug 29, 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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1801620141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 W 21ST ST APT 9Q",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242967",
            "telephone_number": "929-392-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W 21ST ST APT 9Q",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242967",
            "telephone_number": "929-392-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SHATEEA",
        "middle_name": "MARTHA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "342941-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Hicks
• James Hicks
• Kim Hicks
• Latonya Hicks
• Lenwood L Hicks
• Sigma Hicks
• Andrea Hickson-Moore, RDH
• Yehudis C Hickson
• Claris E. Hidalgo, M.D.
• Helenmarie Hidalgo

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.