Ashley Hickman, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

879993 Issued in MS

Practice address

224 S Church St Ste B
Brookhaven, MS 39601-3232

Phone

(601) 757-2060

NPI assigned

Jul 9, 2014

Last updated

Jan 19, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.hickman.1@21777.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21777/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milestones Pediatric Clinic, LLC

  • Pediatric Nurse Practitioner
  • Brookhaven, MS
  • NPI 1114543980

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1861808974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S CHURCH ST STE B",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013232",
            "telephone_number": "601-990-4028",
            "fax_number": "601-990-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S CHURCH ST STE B",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013232",
            "telephone_number": "601-757-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Brookman Dr",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012326",
            "country_code": "US",
            "telephone_number": "601-823-5204",
            "fax_number": "601-833-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "ASHLEY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "879993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06607278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayco LLC
• Brittany Amber Hays
• Anne Atkinson Henderson, PH.D.
• Peter L. Hercules, MD
• Karshanda Herring
• Jerrid Hickman, LPTA
• Yasmine Kiara Hill
• Cole Timmons Hodges, D.O.
• Lillie C Hodges, NP
• Geoffrey R Hodgson, CRNA

• Pediatric Nurse Practitioner in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.