Healthcare Provider Details

I. General information

NPI: 1972486942
Provider Name (Legal Business Name): CHELSEA ANN HICKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA ELLIOTT

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 10TH AVENUE
SIDNEY NE
69162
US

IV. Provider business mailing address

PO BOX 75
DIX NE
69133-0075
US

V. Phone/Fax

Practice location:
  • Phone: 308-249-6728
  • Fax: 308-365-6868
Mailing address:
  • Phone: 308-241-1822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: