Jennifer Watson Hidinger, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2022-01626 Issued in NC

Practice address

1321 Oberlin Rd
Raleigh, NC 27608-2052

Phone

(198) 284-7479

NPI assigned

Apr 25, 2016

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jhidinger443618@direct.bmhcc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oberlin Road Pediatrics, PA

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1881667251
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1942655253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082052",
            "telephone_number": "198-284-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082052",
            "telephone_number": "198-284-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 Hale Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166373",
            "country_code": "US",
            "telephone_number": "901-396-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Univ Of Tn",
            "address_2": "920 Madison Avenue Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-287-6756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Department of Clinical Education",
            "address_2": "262 Danny Thomas Pl",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38105",
            "country_code": "US",
            "telephone_number": "901-568-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDINGER",
        "first_name": "JENNIFER",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2022-01626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942655253",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Ernest Hicks, PH.D.
• Ronald Vincent Hicks, LCMHC, LCAS, CAMS-II
• Shytiera Hicks
• Vanessa Hicks
• Hidden Stream Counseling, PC
• Frank J Hielema, P.T.
• Jennipher Sharon Hiester, PA-C
• Alice G Higgins, LMBT,NMT,MMT,PPMT
• Dianne S. Higgins, PHARM.D
• James Bolen Higgins, DDS

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.