Provider Demographics
NPI:1023259587
Name:HILLIKER, LINDA BETH (CNS RXN, NP, LAC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:BETH
Last Name:HILLIKER
Suffix:
Gender:F
Credentials:CNS RXN, NP, LAC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:BETH
Other - Last Name:BOTSFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 173362, CAMPUS BOX 20
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3362
Mailing Address - Country:US
Mailing Address - Phone:303-615-9999
Mailing Address - Fax:720-778-5850
Practice Address - Street 1:955 LAWRENCE WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:303-615-9999
Practice Address - Fax:720-778-5850
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXP 0100593163WP0808X
CO203549163WP0809X
NY2606171100000X
NYF400184363LP0808X
CO0990651364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No171100000XOther Service ProvidersAcupuncturist
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15850285Medicaid
CO297059YMYNMedicare UPIN