Lynn Chanell Hicks, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

. Issued in NC

Practice address

3926 Allenby PL
Monroe, NC 28110-9531

Phone

(910) 257-1360

NPI assigned

May 20, 2020

Last updated

Nov 22, 2021By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1871116103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 ALLENBY PL",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109531",
            "telephone_number": "910-257-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 ALLENBY PL",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109531",
            "telephone_number": "910-257-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LYNN",
        "middle_name": "CHANELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": ".",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ".",
            "identifier": ".",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Melissa Hersey, R.N.
• Kelsey Lynn Hervatin
• Leonard A Hess, DDS
• Keia Hewitt
• Carolyn L Hicks
• Jennifer Lynn High, AU.D
• Stephanie Huggins Hildreth, RN
• Billie Hill, LMFT
• Carrie Hill, LPC
• Vickie Kaye Hill, RN

• Adult Health Nurse Practitioner in Monroe, NC
• Providers in Monroe, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.