Active NPI
Jami Lynn Hicks, APRN, CPNP-PC
- Pediatric Nurse Practitioner
- Rusk, TX
National Provider Identifier
1871003608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 20173207
- Practice address
- 1375 N Dickinson Dr
Rusk, TX 75785-1051 - Phone
- (903) 683-0093
- Fax
- (903) 683-0069
- NPI assigned
- Oct 6, 2017
- Last updated
- Aug 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 20173207 | TX | Primary |
Addresses
Primary practice location
1375 N Dickinson Dr
Rusk, TX 75785-1051
Mailing address
157 Wall St
Tenaha, TX 75974-5413
Phone (936) 248-4673
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20173207 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Opportunities for the People of East Texas, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba HOPE Community Medicine
- Federally Qualified Health Center (FQHC)
- Tenaha, TX
- NPI 1124296843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1871003608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 WALL ST",
"city": "TENAHA",
"state": "TX",
"postal_code": "759745413",
"telephone_number": "936-248-4673",
"fax_number": "936-248-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 N DICKINSON DR",
"city": "RUSK",
"state": "TX",
"postal_code": "757851051",
"telephone_number": "903-683-0093",
"fax_number": "903-683-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JAMI",
"middle_name": "LYNN",
"credential": "APRN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "20173207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rusk, TX
- Health and Human Services Commission (Rusk State Hospital Pharmacy)
- Health and Human Services Commission (Rusk State Hospital)
- Health and Human Services Commission (Rusk State Hospital)
- Jeanna C. Heidel, PHARMD
- Linda Henderson, FNP
- Amir Ali Homayounkhah, PMHNP-BC
- Jackets Contractors & Associates LLC
- Jacksonville Hospital LLC
- Jenny Pratz
- John C Peyton MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.