CHARLES W HICKEY NP NPI 1700070315

NPI Information

  • NPI: 1700070315
  • Provider Name: CHARLES W HICKEY, NP
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1818 AMHERST ST
    WINCHESTER, VA
    ZIP 22601
  • Phone: (540) 450-0072

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NPI Details

Charles W Hickey, NP is a licensed practical nurse in Winchester, VA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Charles W Hickey, NP NPI is 1700070315. 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:

1818 AMHERST ST
WINCHESTER, VA
ZIP 22601-869
Phone: (540) 450-0072
Fax: (540) 450-0074

The NPI 1700070315 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 8/28/2007 and was last updated on 12/27/2021.

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 PractitionerFamily0024167461VIRGINIANo
2164W00000XLicensed Practical Nurse0024167461VIRGINIAYes

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
11700070315MEDICAIDVIRGINIA
2P00657227OTHERVIRGINIAMEDICARE RR
33810009838MEDICAIDWEST VIRGINIA

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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