Individual provider Active NPI

Christen Lea Bidwell, RN

  • Family Nurse Practitioner
  • Olean, NY
National Provider Identifier
1639889181
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355061 Issued in NY
Practice address
1 Leo Moss Dr
Olean, NY 14760-1100
Phone
(716) 701-3408
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 730598-01 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 355061 NY Primary

Addresses

Primary practice location

1 Leo Moss Dr
Olean, NY 14760-1100

Mailing address

438 Jacobs Hill Rd
Shinglehouse, PA 16748-5118
Phone (814) 697-6969

Other practice location 1

438 Jacobs Hill Rd
Shinglehouse, PA 16748-5118
Phone (814) 697-6969

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
730598-01NYMDHome Health Registered Nurse
355061NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1639889181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 JACOBS HILL RD",
            "city": "SHINGLEHOUSE",
            "state": "PA",
            "postal_code": "167485118",
            "telephone_number": "814-697-6969",
            "fax_number": "814-697-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-701-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 Jacobs Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Shinglehouse",
            "state": "PA",
            "postal_code": "167485118",
            "country_code": "US",
            "telephone_number": "814-697-6969",
            "fax_number": "814-697-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "CHRISTEN",
        "middle_name": "LEA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "730598-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.