Active NPI
Jean R Bybee, PA
- Physician Assistant
- Livingston, TX
National Provider Identifier
1700085511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01982
- Practice address
- 210 W Park Ste 104
Livingston, TX 77351-8337 - Phone
- (936) 328-5820
- Fax
- (936) 328-5824
- NPI assigned
- Jul 12, 2007
- 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 | PA01982 | TX | Primary |
Addresses
Primary practice location
210 W Park Ste 104
Livingston, TX 77351-8337
Mailing address
210 W Park Ste 104
Livingston, TX 77351-8337
Phone (936) 328-5820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA01982 | Other | TX | TEXAS MEDICAL BOARD PHYSI |
| 8Y2311 | Other | TX | BCBS INDIVIDUAL |
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 |
|---|---|---|---|
| PA01982 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1700085511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W PARK STE 104",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518337",
"telephone_number": "936-328-5820",
"fax_number": "936-328-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W PARK STE 104",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518337",
"telephone_number": "936-328-5820",
"fax_number": "936-328-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYBEE",
"first_name": "JEAN",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD PHYSI",
"identifier": "PA01982",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "8Y2311",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.