SHANE C HICKS IDC
NPI 1467550616
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Q: What is Shane Hicks's NPI number?

The NPI number for Shane Hicks is 1467550616. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Shane Hicks's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Shane Hicks was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2006

USS KENTUCKY (SSBN 737)(BLUE), FPO, AP 96698(360) 315-4204(360) 396-4247 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shane C Hicks Idc NPPES

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

SHANE C HICKS IDC (NPI 1467550616) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1467550616

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameSHANE C HICKSCredential: IDC

Location AddressUSS KENTUCKY (SSBN 737)(BLUE)Fpo, AP 96698-2126

Mailing AddressUss Kentucky (ssbn 737)(blue)Fpo, AP 96698-2126 · (360) 315-4204 · Fax (360) 396-4247

Phone(360) 315-4204

Fax(360) 396-4247

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1467550616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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 Shane Hicks's NPI number?

The NPI number for Shane Hicks is 1467550616. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Shane Hicks located?

Shane Hicks practices at Uss Kentucky (ssbn 737)(blue), Fpo, AP 96698. The listed phone number is (360) 315-4204.

What is Shane Hicks's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Shane Hicks was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.