MINDY LYNN HICKENBOTTOM CNP NPI 1881182632

NPI Information

NPI: 1881182632
Provider Name: MINDY LYNN HICKENBOTTOM, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: OHIOHEALTH CORPORATION

PECOS Registration: Yes

Address:
111 S GRANT AVE
COLUMBUS, OH
ZIP 43215
Phone: (614) 566-9160
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Mindy Lynn Hickenbottom, CNP is a gerontology nurse practitioner in Columbus, OH with 6 years of experience. Mindy Lynn Hickenbottom, CNP NPI is 1881182632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 S GRANT AVE
COLUMBUS, OH
ZIP 43215
Phone: (614) 566-9160

The NPI 1881182632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2018 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.307815	OHIO	No
2	363LG0600X	Nurse Practitioner	Gerontology	APRN.CNP.022912	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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