Active NPI
Felicia Smith Bivens, RN
- In Home Supportive Care Agency
- Wadesboro, NC
National Provider Identifier
1124678107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 199339
- Practice address
- 1102 Stuart Dr
Wadesboro, NC 28170-3154 - Phone
- (704) 294-5437
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 199339 | NC | |
| Community Health Registered Nurse | 163WC1500X | 199339 | NC | |
| Nursing Care Agency | 251J00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Chore Provider | 372500000X | |||
| Nurse's Aide | 376K00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 199339 | NC | Primary |
| Respite Care | 385H00000X |
Addresses
Primary practice location
1102 Stuart Dr
Wadesboro, NC 28170-3154
Mailing address
1102 Stuart Dr
Wadesboro, NC 28170-3154
Phone (704) 294-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199339 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiding Abilities Homecare, LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Wadesboro, NC
- NPI 1700742608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1124678107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 STUART DR",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281703154",
"telephone_number": "704-294-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 STUART DR",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281703154",
"telephone_number": "704-294-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "FELICIA",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "199339",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NC",
"license": "199339",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "199339",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wadesboro, NC
- Michael Banker, COTA/L
- Julia Shannon Barbour, LCAS
- Marlena Jalise Baxter-Dunn, EDD, MSW, LCSW-A
- Beas Transportation LLC
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Anson)
- Edward Conrad Blasko, MD
- John Fredrick Blue, Jr, MD
- Lakeisha Tameika Boggan, LPC
- Rizalina Bondoc, PT
- Boyd Intensive in Home Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.