Active NPI
Kara Leanne Bickham, M.D.
- Pediatrics Physician
- Garrison, NY
National Provider Identifier
1902047335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 206333-1
- Practice address
- 34 Route 403
Garrison, NY 10524-3323 - Phone
- (845) 424-4444
- Fax
- (845) 424-4664
- NPI assigned
- Mar 16, 2009
- Last updated
- Mar 16, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 206333-1 | NY | Primary |
Addresses
Primary practice location
34 Route 403
Garrison, NY 10524-3323
Mailing address
34 Route 403
Garrison, NY 10524-3323
Phone (845) 424-4444
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206333-1 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1902047335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ROUTE 403",
"city": "GARRISON",
"state": "NY",
"postal_code": "105243323",
"telephone_number": "845-424-4444",
"fax_number": "845-424-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 ROUTE 403",
"city": "GARRISON",
"state": "NY",
"postal_code": "105243323",
"telephone_number": "845-424-4444",
"fax_number": "845-424-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKHAM",
"first_name": "KARA",
"middle_name": "LEANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "206333-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.