Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497021414 Individual Practitioner Female Practitioner

Lisa M Hicks , CPNP

Nurse Practitioner - Pediatrics • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Lisa Hicks, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Dothan, AL. Practice services are available at 126 CLINIC DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Clinic Dr

Dothan, AL 363031980

Telephone 3347931881
Fax 3343405918
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Dothan, AL (380 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AL 1-109237

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
196555 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1013246594

Doctor of Psychology (Psy.D.)

NPI 1053731216

Doctor of Medicine (M.D.)

Elizabeth Marshall , CRNP

Nurse Practitioner - Pediatrics

NPI 1356332217

Certified Registered Nurse Practitioner

NPI 1407174626

Doctor of Medicine (M.D.)

Delancey Fowler

Nurse Practitioner - Family

NPI 1407205404
Chelsea Ingram , CPNP

Nurse Practitioner - Pediatrics

NPI 1427814250

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2017

Registered at 126 CLINIC DR, DOTHAN, AL 363031980 (Tel: 3347931881)

📍
Updated Business Mailing Address July 06, 2017

Registered at 126 CLINIC DR, DOTHAN, AL 363031980 (Tel: 3347931881)

👤
Provider Name / Credentials Updated July 06, 2017

Recorded as LISA HICKS, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Nurse Practitioner (License #1-109237 in AL)

📍
Updated Practice Location March 31, 2017

Registered at 126 CLINIC DR, DOTHAN, AL 363031980 (Tel: 3347931881)

📍
Updated Business Mailing Address March 31, 2017

Registered at 126 CLINIC DR, DOTHAN, AL 363031980 (Tel: 3347931881)

NPI Profile Active March 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2014

Registered at 364 HONEYSUCKLE RD, DOTHAN, AL 363051140 (Tel: 3347948656)

📍
Updated Business Mailing Address March 21, 2014

Registered at 364 HONEYSUCKLE RD, DOTHAN, AL 363051140 (Tel: 3347948656)

👤
Provider Name / Credentials Updated March 21, 2014

Recorded as LISA HICKS, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2014

Clinical Nurse Specialist (License #1-109237 in AL)

🟢
Initial NPI Registration & Enumeration March 23, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497021414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2012
Last Update: July 06, 2017
Sole Proprietor: No

Mailing Address

126 Clinic Dr

Dothan, AL 363031980

Phone: 3347931881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.