Active NPI
Crista Hickey, FNP-C
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2307649
- Practice address
- 9095 Rio San Diego Dr Ste 425
San Diego, CA 92108-1679 - Phone
- (858) 455-5524
- Fax
- (858) 587-9377
- NPI assigned
- Jun 19, 2019
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2307649 | CA | Primary |
| Registered Nurse | 163W00000X | RN2307649 | CA |
Addresses
Primary practice location
9095 Rio San Diego Dr Ste 425
San Diego, CA 92108-1679
Mailing address
9095 Rio San Diego Dr Ste 425
San Diego, CA 92108-1679
Phone (858) 455-5524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9095 Rio San Diego Dr
Suite 425
San Diego, CA 92108-1679
Phone 8584555524205
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2307649 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| South Coast Gynecologic Oncology, Inc | Current | Accepting new patients |
Locations
9095 Rio San Diego Dr
Ste 425
San Diego, CA 92108
Phone 8584555524 ext. 205
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Organizations & group practices 3
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.
-
- Specialist
- San Diego, CA
- NPI 1881639946
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1932769122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9095 RIO SAN DIEGO DR STE 425",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081679",
"telephone_number": "858-455-5524",
"fax_number": "858-587-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9095 RIO SAN DIEGO DR STE 425",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081679",
"telephone_number": "858-455-5524",
"fax_number": "858-587-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "CRISTA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN2307649",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN2307649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.