Ivone G Bickham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP107932 Issued in TX

Practice address

1000 E 41St St Ste 925
Austin, TX 78751-4856

Phone

(512) 978-9940

Fax

(512) 901-9702

NPI assigned

Apr 9, 2012

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• University Health Services

  dba Uiversity of Texas at Austin

  • Health Service Clinic/Center
  • Austin, TX
  • NPI 1740313337
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1992061535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Montopolis Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787416411",
            "country_code": "US",
            "telephone_number": "512-978-9901",
            "fax_number": "512-901-9765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "IVONE",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP107932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bible
• Fred Bibus, MD
• Christopher James Bickel
• Rachel Marie Bicker, PA-C
• Kayden Bickett
• Jennifer Leigh Biddle, LCSW
• Tamara Savannah Biddle, LMSW
• Elisha Bidwell, LMFT ASSOCIATE
• Carolyn G. Biebas, M.D.
• Dominique Salinas Bieber

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.