P Praxis·MD
● Active Type 2 · Organization

Sue Hicks Llc

Clinic/Center·Boise, ID· NPI 1124619978 · Enumerated 2021 · 5 years on NPI
Sue Hicks Llc is 1 of 326 clinic/center organizations in Idaho.
NPI age
5 years
Enumerated 2021-02-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hicks
Owner
Last NPPES update
2021-02-02
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
4477 W Emerald St Ste C275
Boise, ID 837062078
📞 2087400391
Mailing address
5524 S Caper Pl
Boise, ID 837166929
📞 2087400391

Authorized official

Sue M Hicks, LCSW
Owner
📞 2087400391

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Boise VA Medical Center
    Type code 5 recorded 2021-02-02

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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