Antonia Whitney Hicks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

196600 Issued in CA

Practice address

153 Jasper Way
San Andreas, CA 95249-9490

Phone

(209) 598-8684

Fax

(209) 754-9624

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1871846618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 JASPER WAY",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499490",
            "telephone_number": "209-598-8684",
            "fax_number": "209-754-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 JASPER WAY",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499490",
            "telephone_number": "209-598-8684",
            "fax_number": "209-754-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ANTONIA",
        "middle_name": "WHITNEY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "196600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Haspel, MD
• Chase Hawkins
• Randy Helwig, R.D.
• Charlene Hernandez
• Lela Danielle Ford Hetzer
• Kay Lyn Holman, RN
• Jennifer Lynn Hooper, CADC II
• Kayronna Hoskins
• Rebekah Hoskins
• Lyndsi Marie House, SUDRC I

• Registered Nurse in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.