RONALD LEE HICKMAN PHD CNP NPI 1679861876

NPI Information

  • NPI: 1679861876
  • Provider Name: RONALD LEE HICKMAN, PHD, CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 11100 EUCLID AVE
    CLEVELAND, OH
    ZIP 44106
  • Phone: (216) 844-7334

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NPI Details

Ronald Lee Hickman, PHD, CNP is an acute care nurse practitioner in Cleveland, OH. Ronald Lee Hickman, PHD, CNP NPI is 1679861876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-7334

The enumeration date for this NPI number is 7/21/2011 and was last updated on 9/7/2011.

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
1363LA2100XNurse PractitionerAcute CareCOA.10953-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H009600MEDICARE PINOHIO
20051560MEDICAIDOHIO

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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