Active NPI
Tasha Michelle Hicks, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9298689
- Practice address
- 11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300 - Phone
- (407) 877-6500
- Fax
- (321) 203-4612
- NPI assigned
- Nov 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9298689 | FL | Primary |
Addresses
Primary practice location
11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300
Mailing address
11140 W Colonial Dr Ste 1
Ocoee, FL 34761-3300
Phone (407) 877-6500
Other practice location 1
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021603000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9298689 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Dr Luisa Vega DNP LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Current | Accepting new patients |
Locations
1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423
525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
11140 W Colonial Dr
Ste 1
Ocoee, FL 34761
Phone (407) 877-2111
10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
Interoperability endpoints
- thicks28067@orlandohealth.medalliesdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1972055218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 W COLONIAL DR STE 1",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613300",
"telephone_number": "407-877-6500",
"fax_number": "321-203-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 W COLONIAL DR STE 1",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613300",
"telephone_number": "407-877-6500",
"fax_number": "321-203-4612"
}
],
"practiceLocations": [
{
"address_1": "525 Technology Park Ste 109",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327467107",
"country_code": "US",
"telephone_number": "407-647-2346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "TASHA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9298689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021603000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.