IndividualActive
Tyese Hicks, RN
NPI 1124961404 · Registered Nurse · Petersburg, VA
Tyese Hicks, RN is a Registered Nurse provider in Petersburg, VA (NPI 1124961404).
Provider details
- NPI number
- 1124961404
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 0001259986 (VA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1968 Walker Ave
Petersburg, VA 23803-4749
Phone: (804) 393-9149
Street-level locationGet directions
Mailing address
1968 Walker Ave
Petersburg, VA 23803-4749
Registry dates
- Enumerated
- 2026-04-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-12
Frequently asked questions
- What is Tyese Hicks's NPI number?
- Tyese Hicks's National Provider Identifier (NPI) is 1124961404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyese Hicks's specialty?
- Tyese Hicks is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Tyese Hicks located?
- Tyese Hicks's practice location on file with NPPES is 1968 Walker Ave, Petersburg, VA 23803-4749.
- What is Tyese Hicks's phone number?
- The practice phone number listed in the NPPES registry for Tyese Hicks is (804) 393-9149.
- Is Tyese Hicks's NPI active?
- Yes — Tyese Hicks's NPI (1124961404) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.