Individual provider Active NPI

Kiedra Hickert

  • Speech-Language Pathologist
  • Hays, KS
National Provider Identifier
1891285292
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4277 Issued in KS
Practice address
600 Park St.
Albertson Hall 131
Hays, KS 67601
Phone
(785) 628-5530
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4277 KS Primary

Addresses

Primary practice location

600 Park St.
Albertson Hall 131
Hays, KS 67601

Mailing address

600 Park St.
Albertson Hall 131
Hays, KS 67601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613000257 KS Practitioner - Qualified Speech Language Pathologist 2567717739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Hays State UniversityGroup PAC ID 8921057365, 4 clinicians

Practice addresses (Care Compare)

600 Park St
Suite 131
Hays, KS 67601-4009
Phone (785) 628-5366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4277KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Hays State University Current Accepting new patients
Fort Hays State University Speech-Language Pathologist CurrentSince Mar 26, 2018 Accepting new patients

Locations

600 Park St
Hays, KS 67601
Phone (785) 628-4293

600 Park St
Ste 131
Hays, KS 67601
Phone (785) 628-5366

600 Park St
#131
Hays, KS 67601
Phone (785) 628-5366

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1891285292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK ST.",
            "address_2": "ALBERTSON HALL 131",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK ST.",
            "address_2": "ALBERTSON HALL 131",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERT",
        "first_name": "KIEDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.