TYLER DOUGLAS HICKERSON CNIM
NPI 1861994584
Specialist/Technologist, Other - Electroneurodiagnostic in Winter Park, FL

Active since March 08, 2018
127 W FAIRBANKS AVE # 180, WINTER PARK, FL 32789(239) 443-8739 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Douglas Hickerson Cnim NPPES

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

TYLER DOUGLAS HICKERSON CNIM (NPI 1861994584) is an individual electroneurodiagnostic provider in Winter Park, Florida, licensed in (3216) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1861994584
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameTYLER DOUGLAS HICKERSONCredential: CNIM
Location Address127 W FAIRBANKS AVE # 180Winter Park, FL 32789-4326
Mailing Address127 W Fairbanks Ave # 180Winter Park, FL 32789-4326
Sole ProprietorNo
Enumeration DateMarch 8, 2018
NPI 1861994584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License Licensed · 3216
127 W FAIRBANKS AVE # 180, Winter Park, FL 32789

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.

Specialist/Technologist, Other (Electroneurodiagnostic)
127 W FAIRBANKS AVE # 180
WINTER PARK, FL 32789
Specialist/Technologist, Other (Electroneurodiagnostic)
127 W FAIRBANKS AVE # 180
WINTER PARK, FL 32789

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 Tyler Hickerson's NPI number?

The NPI number for Tyler Hickerson is 1861994584. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Tyler Hickerson located?

Tyler Hickerson practices at 127 W Fairbanks Ave # 180, Winter Park, FL 32789. The listed phone number is (239) 443-8739.

What is Tyler Hickerson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Tyler Hickerson was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.