Kimberly Hicks
Licensed Vocational Nurse in Longview, TX. Individual provider (NPI-1).
NPI number1366061053
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1366061053
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Hicks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Mar 20, 2024 (1128b4)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 302735 | TX | Yes |
Practice location
2015 Majestic Pace St # ALongview, TX 75604-2526
Phone 903-374-5282
Mailing address
2015 Majestic Pace St # ALongview, TX 75604-2526
Phone 903-374-5282
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.
Other Licensed Vocational Nurse providers in Longview, TX
- Kayla Shaqui BrittainNPI 1508485541
- Stephanie BrownNPI 1699336719
- Tonie Elaine BryantNPI 1326541368
- Tequita BurnsNPI 1114529849
- Kevin Claiborne, LVNNPI 1730689746
- Antoinesha Trenae Cox, LVNNPI 1639730740
- Alexandra Patrice Day, LVNNPI 1376001537
- Ch'Via Minyon DixonNPI 1922583673
- Lasandra EasleyNPI 1972101707
- Bliss FieldsNPI 1780232322
All 37 Licensed Vocational Nurse providers in Longview · All 2,907 providers in Longview
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.