Jodie Lynn Bivens
Individual provider Active NPI Developmental Therapist · Columbia, KY
NPI 1497594626 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1497594626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 201158986 (KY)
- Practice address
- 1102 Hemlock Cir
Columbia, KY 42728-1854 - Phone
- (270) 805-1417
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201158986 | KY | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 201158986 | KY | Yes |
Addresses
Primary practice location
1102 Hemlock Cir
Columbia, KY 42728-1854
Mailing address
1102 Hemlock Cir
Columbia, KY 42728-1854
Phone (270) 805-1417
Other names
- Jodie Lynn Stephens
Other providers in Columbia, KY
- Brandon Bennett
- Heather Bennett
- Beyond the Label LLC
- Beyond the Label LLC
- Chasity Biggerstaff
- Jennifer R Blair
- Nicholas Wayne Bloodworth
- Kayla Bodner
- Kendra R Bolom
- David Earl Bowman
All providers in Columbia, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.