Active NPI
Elizabeth Edith Bivens, PA-C
- Physician Assistant
- Norman, OK
National Provider Identifier
1447258405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA806
- Practice address
- 3400 W Tecumseh Rd
Suite 205
Norman, OK 73072-1810 - Phone
- (405) 360-7100
- Fax
- (405) 364-9112
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA806 | OK | Primary |
Addresses
Primary practice location
3400 W Tecumseh Rd
Suite 205
Norman, OK 73072-1810
Mailing address
2080 W State Highway 9
Suite 205
Norman, OK 73072-9795
Phone (405) 360-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100125270A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1447258405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W STATE HIGHWAY 9",
"address_2": "SUITE 205",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729795",
"telephone_number": "405-360-7100",
"fax_number": "405-364-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W TECUMSEH RD",
"address_2": "SUITE 205",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"telephone_number": "405-360-7100",
"fax_number": "405-364-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "ELIZABETH",
"middle_name": "EDITH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100125270A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.