Alicia Nicole Hicks, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

D25456 Issued in FL

Practice address

2080 Child St
Jacksonville, FL 32214-5005

Phone

(904) 546-7130

NPI assigned

Dec 5, 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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1821804899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HILLENDALE CIR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322598533",
            "telephone_number": "443-208-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-546-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "credential": "CRDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "D25456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Dawn Hickman, APRN
• Wendy Hickman
• Abrianna Nicole Hickox
• Aaron Blake Hicks, D.O.
• Alexandria Hicks
• Ariel V Hicks
• Bailey Hicks
• Betty Anne Hicks, MS DEGREE
• Bridget Danielle Hicks, MS LMFT
• Chandra Hicks, LMHC

• Dental Hygienist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.