Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH BREANN DEYA HICKS DO
NPI 1457059545
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since February 20, 2023
4802 10TH AVE, BROOKLYN, NY 11219(512) 538-8664 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Feb 20, 2023 (2 updates tracked since 2023).

About Elizabeth Breann Deya Hicks Do NPPES

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

ELIZABETH BREANN DEYA HICKS DO (NPI 1457059545) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1457059545
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH BREANN DEYA HICKSCredential: DO
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address237 11th St Apt 8fBrooklyn, NY 11215-4534 · (512) 538-8664
Sole ProprietorNo
Enumeration DateFebruary 20, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1457059545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4802 10TH AVE, Brooklyn, NY 11219

Other Names 1

Former Name (1)Elizabeth Breann Deya Edelen Do

Other Providers at the Same Location NPPES 20

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

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Elizabeth Deya Hicks's NPI number?

The NPI number for Elizabeth Deya Hicks is 1457059545. It was assigned to this individual provider in the NPPES registry on February 20, 2023. The provider is also known as Elizabeth Breann Deya Edelen Do.

Where is Elizabeth Deya Hicks located?

Elizabeth Deya Hicks practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (512) 538-8664.

What is Elizabeth Deya Hicks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Deya Hicks was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.