Candis M Hicks, CNM
Advanced Practice Midwife in Fort Worth, TX. Individual provider (NPI-1).
NPI number1003972274
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1003972274
- Entity type
- Individual (NPI-1)
- Name
- Candis M Hicks
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2006
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP111164 | TX | Yes |
Other names
- Candis M Pannell (Former Name)
Practice location
1300 W Terrell Ave Ste 320Fort Worth, TX 76104-2822
Phone 817-250-7360
Mailing address
1300 W Terrell Ave Ste 320Fort Worth, TX 76104-2822
Phone 817-250-7360
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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