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MRS. LACY HICKS CPNP
NPI 1396465621
Pediatrics - Pediatric Cardiology in Johnson City, TN

Active since August 29, 2022
2312 KNOB CREEK RD STE 208, JOHNSON CITY, TN 37604(423) 610-1099(423) 246-4300 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2023, Aug 29, 2022 (2 updates tracked since 2022).

About Mrs. Lacy Hicks Cpnp NPPES

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

MRS. LACY HICKS CPNP (NPI 1396465621) is an individual pediatric cardiology provider in Johnson City, Tennessee, licensed in Tennessee (1841362555) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1396465621
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMRS. LACY HICKSCredential: CPNP
Location Address2312 KNOB CREEK RD STE 208Johnson City, TN 37604-2367
Mailing Address2312 Knob Creek Rd Ste 208Johnson City, TN 37604-2367 · (423) 610-1099 · Fax (423) 246-4300
Phone(423) 610-1099
Fax(423) 246-4300
Sole ProprietorYes
Enumeration DateAugust 29, 2022
Last NPPES UpdateSeptember 4, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2023
✔ NPI 1396465621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TN · 1841362555
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2312 KNOB CREEK RD STE 208, Johnson City, TN 37604
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Other Identifiers 2

Other1376533489Npi
Other1578856985Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. JERRY DON WALKUP JR. M.D.
Pediatrics (Pediatric Cardiology)
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604
Washington County (423) 610-1099
BROOKE NICOLE PENNINGS NP
Nurse Practitioner (Primary Care)
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604
Washington County (423) 610-1099

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 Lacy Hicks's NPI number?

The NPI number for Lacy Hicks is 1396465621. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Lacy Hicks located?

Lacy Hicks practices at 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604. The listed phone number is (423) 610-1099.

What is Lacy Hicks's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Lacy Hicks was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.