Susan Louise Hicks

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4434 Corey Road
Central Point, OR 97502

Phone

(541) 973-8350

NPI assigned

Sep 17, 2013

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

Other names 1

• Susan Louise Shaw Former name

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1811323397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S. CENTRAL, SUITE 101",
            "address_2": "FAMILY SOLUTIONS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-776-5793",
            "fax_number": "541-776-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 COREY ROAD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "97502",
            "telephone_number": "541-973-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHAW",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Britney Rennee Hendrickson
• Sheri Henke, MASSAGE THERAPIST
• Heidi Leigh Henson Dunlap, D.C.
• Robert Herried, COUNSELOR
• Samuel Joseph Hicks
• Anne Marie Higby, MSW
• Michael Peter Higginbotham II
• Raquel Hightower
• Julia Hilton
• Samuel Aden Hirtle, D.O.

• Behavior Analyst in Central Point, OR
• Providers in Central Point, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.