Active NPI
Ryan-Niko Hickman, MD
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1821224635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19328
- Practice address
- 9320 W. Sahara Ave.
Las Vegas, NV 89117 - Phone
- (702) 383-3850
- Fax
- (702) 562-2816
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 321356 | LA | |
| Family Medicine Physician | 207Q00000X | 56829 | AZ | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 39988 | SC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036.128902 | IL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2011-00129 | NC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD482065 | PA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 74809 | MN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 96415 | GA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 01091130A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 3272-320 | WI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2023031397 | MO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 077147 | CT | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 25IA12394200 | NJ | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | C1-0027118 | DE | |
| Family Medicine Physician | 207Q00000X | 19328 | NV | Primary |
Addresses
Primary practice location
9320 W. Sahara Ave.
Las Vegas, NV 89117
Mailing address
1800 W. Charleston Blvd. Ste. 508
Las Vegas, NV 89102
Phone (702) 383-2688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19328 | NV | MD | Pharmacist |
| 56829 | AZ | MD | Family Medicine Physician |
| 077147 | CT | MD | Sports Medicine (Family Medicine) Physician |
| C1-0027118 | DE | MD | Sports Medicine (Family Medicine) Physician |
| 96415 | GA | MD | Sports Medicine (Family Medicine) Physician |
| 036.128902 | IL | MD | Sports Medicine (Family Medicine) Physician |
| 01091130A | IN | MD | Sports Medicine (Family Medicine) Physician |
| 321356 | LA | MD | Sports Medicine (Family Medicine) Physician |
| 74809 | MN | MD | Sports Medicine (Family Medicine) Physician |
| 2023031397 | MO | MD | Sports Medicine (Family Medicine) Physician |
| 25IA12394200 | NJ | MD | Sports Medicine (Family Medicine) Physician |
| MD482065 | PA | MD | Sports Medicine (Family Medicine) Physician |
| 39988 | SC | MD | Sports Medicine (Family Medicine) Physician |
| 3272-320 | WI | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viewfi Health National Provider Services LLC | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1639822679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1821224635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W. CHARLESTON BLVD. STE. 508",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-383-2688",
"fax_number": "928-263-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 W. SAHARA AVE.",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89117",
"telephone_number": "702-383-3850",
"fax_number": "702-562-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "RYAN-NIKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "LA",
"license": "321356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "56829",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "39988",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036.128902",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NC",
"license": "2011-00129",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD482065",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MN",
"license": "74809",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "96415",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "01091130A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WI",
"license": "3272-320",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MO",
"license": "2023031397",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CT",
"license": "077147",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NJ",
"license": "25IA12394200",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "DE",
"license": "C1-0027118",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "19328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.