Raiesha Amyela Hicks, CRT, HHA

Primary specialty

Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X

License

1452728 Issued in MD

Practice address

2020 Savannah PL SE
Washington, DC 20020

Phone

(202) 340-1357

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1972855625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 13TH PL SE APT 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325031",
            "telephone_number": "202-340-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SAVANNAH PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-340-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RAIESHA",
        "middle_name": "AMYELA",
        "credential": "CRT, HHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "1452728",
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "MD",
            "license": "1452728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanika Tashoun Hicks
• Kimberly Nicole Hicks
• Lawann Hicks
• Linda Hicks
• Pernell Hicks
• Sarita Lynette Hicks
• Temika Hicks
• Debra Hickson
• Jacob Wayne Hickson
• Joniesha Hickson, PSY.D.

• Certified Respiratory Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Certified Respiratory Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.