Individual provider Active NPI

Ashley Monique Bivona, FNP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1649803115
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211805 Issued in LA
Practice address
42078 Veterans Ave
Hammond, LA 70403-1490
Phone
(985) 542-7177
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211805 LA Primary

Addresses

Primary practice location

42078 Veterans Ave
Hammond, LA 70403-1490

Mailing address

41166 Dunson Rd
Ponchatoula, LA 70454-5164
Phone (985) 351-5934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000761 LA Practitioner - Nurse Practitioner 3173912094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

387 W Railroad Ave
Independence, LA 70443-2292
Phone (985) 606-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211805LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Nov 7, 2021 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Nov 7, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

902 Main St
Baker, LA 70714
Phone (225) 500-2504

387 W Railroad Ave
Independence, LA 70443
Phone (931) 256-1110

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1649803115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41166 DUNSON RD",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704545164",
            "telephone_number": "985-351-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42078 VETERANS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031490",
            "telephone_number": "985-542-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "ASHLEY",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.