Active NPI
Lynda Apple Bideau, M.D
- Pediatrics Physician
- Palm Beach Gardens, FL
National Provider Identifier
1417958430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 47906
- Practice address
- 3365 Burns Rd
Suite 100
Palm Beach Gardens, FL 33410-4326 - Phone
- (561) 626-4000
- Fax
- (561) 493-8172
- NPI assigned
- Aug 2, 2005
- Last updated
- Sep 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 47906 | FL | Primary |
Addresses
Primary practice location
3365 Burns Rd
Suite 100
Palm Beach Gardens, FL 33410-4326
Mailing address
3365 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4302
Phone (561) 626-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09557 | Other | FL | BLUE CROSS BLUE SHIELD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 47906 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| MC Roberts and Steiner | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lbideau19370@jupitermedicalcenter.direct-ci.com
- lynda.bideau@childrensphysicians.ssdirect.aprima.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chldrens Physicians
- Pediatrics Physician
- Palm Beach Gardens, FL
- NPI 1740310853
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1417958430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 BURNS RD STE 100",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104302",
"telephone_number": "561-626-4000",
"fax_number": "561-493-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 BURNS RD",
"address_2": "SUITE 100",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104326",
"telephone_number": "561-626-4000",
"fax_number": "561-493-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDEAU",
"first_name": "LYNDA",
"middle_name": "APPLE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 47906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09557",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.