Tara Bivens

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201007551 Issued in MI

Practice address

5659 Stadium Dr
Kalamazoo, MI 49009-1932

Phone

(269) 372-0436

NPI assigned

Dec 30, 2013

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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1376964866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 E Q AVE",
            "city": "CLIMAX",
            "state": "MI",
            "postal_code": "490349764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932",
            "telephone_number": "269-372-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201007551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Bishop, LMSW
• David Bishop
• Max Bishop
• Faith Bitely, MA, CCC-SLP
• Mallory Bitzer, LMSW, CAADC
• Dustin Anthony Bivins, DO
• Ashton Bjork
• BJR Ventures LLC
• Black Cat Counseling PLC
• Constance A Black-Pond

• Pediatric Occupational Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.