MRS. LATURE ELEASE HICKS NP-C NPI 1043303019

NPI Information

  • NPI: 1043303019
  • Provider Name: MRS. LATURE ELEASE HICKS, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N WOOLSEY AVE
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 444-7548

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NPI Details

MRS. Lature Elease Hicks, NP-C is a family nurse practitioner in Fayetteville, AR with 22 years of experience. MRS. Lature Elease Hicks, NP-C NPI is 1043303019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1100 N WOOLSEY AVE
FAYETTEVILLE, AR
ZIP 72703-847
Phone: (479) 444-7548

The NPI 1043303019 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Automated urinalysis test (HCPCS:81003)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/8/2014.

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
1363LF0000XNurse PractitionerFamilyA02945ARKANSASYes

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: 3/30/2025

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