Cassandra Gibbs Hicks Arnp LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9275760 Issued in FL

Legal business name

CASSANDRA GIBBS HICKS ARNP LLC

Practice address

1680 SE Lyngate Dr
Port Saint Lucie, FL 34952-4300

Phone

(772) 335-9808

Fax

(772) 335-9818

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Cassandra Hicks, ARNP

Title

Owner/Manager

Phone

(772) 216-6750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1811203953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-335-9808",
            "fax_number": "772-335-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-335-9808",
            "fax_number": "772-335-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA GIBBS HICKS ARNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "772-216-6750",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9275760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Theresa Carter, PTA
• Lovena Carter
• Tierra Jasmine Carter, RD LDN
• Jennifer Lynn Caruso, M.A.,CCC-SLP
• Indira Casanola
• Stephanie Castellanos, BS
• Deyaneira Castillo
• Sophia Gabriela Castillo
• Tehya Castillo
• Grant Casto, DDS

• Family Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.