Courtney A Bivins, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

2-067657 Issued in AL

Practice address

301 Andrews Avenue US Army Aeromedical Center
301 Andrews Avenue US Army Aeromedical Center
Fort Rucker, AL 36362-5333

Phone

(334) 255-7741

NPI assigned

May 10, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1194309799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC",
            "address_2": "301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE US ARMY AEROMEDICAL CENTER",
            "address_2": "301 ANDREWS AVENUE US ARMY AEROMEDICAL CENTER",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINS",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "AL",
            "license": "2-067657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilo Beving, RN
• Amy Bhagaloo, DMD
• Raoul Jay Bhatta, MD
• Hosea Tyler Bickerstaff, NREMT
• Michael A Bishop I
• Janna Blanks
• Aaron Blasingame, NREMT
• Marci Bolla, NREMT-P
• Katherine Bonnette, CONTACT REPRESENTATI
• Annie Stevens Boothe, CRNP

• All providers in Fort Rucker, AL
• Licensed Vocational Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.