Individual provider Active NPI

Olivia Michelle Hiscox

  • Athletic Trainer
  • Saint Louis, MO
National Provider Identifier
1881482412
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2025026590 Issued in MO
Practice address
12800 Corporate Hill Dr
Saint Louis, MO 63131-1845
Phone
(557) 203-4112
NPI assigned
Apr 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 2025026590 MO Primary

Addresses

Primary practice location

12800 Corporate Hill Dr
Saint Louis, MO 63131-1845

Mailing address

11942 Devonshire Ave
Des Peres, MO 63131-4509
Phone (314) 471-7251

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

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1881482412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 DEVONSHIRE AVE",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314509",
            "telephone_number": "314-471-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 CORPORATE HILL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311845",
            "telephone_number": "557-203-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOX",
        "first_name": "OLIVIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2025026590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.