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TECILLA RESHAWN HICKS
NPI 1043017593
Pathology - Clinical Laboratory Director, Non-physician in Lake City, FL

Active since March 03, 2025
725 SE BAYA DR, LAKE CITY, FL 32025(904) 558-1904 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tecilla Reshawn Hicks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TECILLA RESHAWN HICKS (NPI 1043017593) is an individual clinical laboratory director, non-physician in Lake City, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1043017593
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameTECILLA RESHAWN HICKS
Location Address725 SE BAYA DRLake City, FL 32025-6073
Mailing Address725 Se Baya DrLake City, FL 32025-6073 · (904) 558-1904
Phone(904) 558-1904
Sole ProprietorNo
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 2, 2025
✔ NPI 1043017593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
725 SE BAYA DR, Lake City, FL 32025
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE LABS AND MORE
Clinical Medical Laboratory
725 SE BAYA DR
LAKE CITY, FL 32025
Columbia County (800) 501-5716
LAVENDER SMART HOMECARE, LLC
In Home Supportive Care
725 SE BAYA DR
LAKE CITY, FL 32025
Columbia County (602) 581-1588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tecilla Hicks's NPI number?

The NPI number for Tecilla Hicks is 1043017593. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Tecilla Hicks located?

Tecilla Hicks practices at 725 SE Baya Dr, Lake City, FL 32025. The listed phone number is (904) 558-1904.

What is Tecilla Hicks's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Tecilla Hicks was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.