IndividualActive
Charlene Hickson, M.D.
NPI 1417909938 · Otolaryngology Physician · Pueblo, CO
Provider details
- NPI number
- 1417909938
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 39435 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1218 S Pueblo Blvd
Pueblo, CO 81005-1593
Phone: (719) 566-1277
Fax: (719) 566-1257
Street-level locationGet directions
Mailing address
1218 S Pueblo Blvd
Pueblo, CO 81005-1593
Additional practice locations (1)
- 902 Lakeview AvePueblo, CO 81004-3597Phone: (719) 557-5855
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.