Deseree Marie Hicks, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

929941 Issued in TX

Practice address

8700 Crownhill Blvd Ste 300
San Antonio, TX 78209-1128

Phone

(210) 824-5530

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By 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 names 1

• Deseree Marie Hubbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Adaptive Health Services, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1831351261
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1932702073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 BUCK PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453450",
            "telephone_number": "210-772-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091128",
            "telephone_number": "210-824-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DESEREE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "929941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESEREE",
            "last_name": "HUBBERT",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendall Hickman
• Hickory Hospice LLC
• Lydia Frances Hicks-Tillmon, FNP
• Brittany Mariah Hicks, LVN
• Cherri Allison Hicks, MSN, APRN, CNS
• Donna A Hicks, MA. LPC, LCDC
• Jeffery L Hicks, DDS
• Kaycie Marie Hicks
• Summer Hicks
• Chelsea Hidalgo

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.