Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latricia Deloris Hickenbottom, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700343811

Latricia Deloris Hickenbottom, CRNP is a Nurse Practitioner in Mobile, Alabama. Qualified in 2017, 9 years ago. Practices with Alabama Post-Acute Medical Service 1 PC, a 17-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1515 S University Blvd
Mobile, AL 36609-2958
Phone: (251) 343-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1-134340 (AL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1-134340 (AL)

Record details

NPI number1700343811
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Alabama Post-Acute Medical Service 1 Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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