Active NPI
Ladonna Lynn Hickman, M.S. CCC-SLP
- Speech-Language Pathologist
- Flagstaff, AZ
National Provider Identifier
1962836544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP8546
- Practice address
- 2224 E Cedar Ave
Ste 103
Flagstaff, AZ 86004-1957 - Phone
- (928) 779-1679
- NPI assigned
- Aug 30, 2013
- Last updated
- Nov 5, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP8546 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP8546 | AZ | Primary |
Addresses
Primary practice location
2224 E Cedar Ave
Ste 103
Flagstaff, AZ 86004-1957
Mailing address
PO Box 1464
Page, AZ 86040-1464
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP8546 | AZ | MD | Speech-Language Pathologist |
| TSLP8546 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1962836544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1464",
"city": "PAGE",
"state": "AZ",
"postal_code": "860401464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 E CEDAR AVE",
"address_2": "STE 103",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041957",
"telephone_number": "928-779-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "LADONNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP8546",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP8546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.