ELISA BROOKE BIVINS (NPI# 1306196472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306196472 |
| Entity Type | Individual |
| Full Name | ELISA BROOKE BIVINS |
| Other Name | ELISA BROOKE ANDERSON |
| Practice Address |
102 Broaddus Avenue Suite 200 Bowling Green VA 22427-9404 |
| Mailing Address |
25892 N James Madison Highway New Canton VA 23123-0220 |
| Practice Telephone | 8046321030 |
| Practice Fax Number | 8046321033 |
| Mailing Telephone | 4345813271 |
| Mailing Fax Number | 4345811105 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024170177 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 BROADDUS AVENUE SUITE 200 |
| City | BOWLING GREEN |
| State | VA |
| Zip Code | 22427-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811092109 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 102 Broaddus Avenue, Bowling Green, VA 22427 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
| 1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
| 1386158319 | Karla Castillo | Dentist | Calzada Tecnologico 811, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2017-11-29 |
| 1609327527 | Jessica Y Figueroa Diaz | Dentist | Calle Sociologos # 308, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2016-10-14 |
| 1639476989 | Barbara Helen Hiestand | Social Worker | 102 West Broaddus Ave. Ste. 200, Bowling Green, VA 22427 | 2011-02-23 |
| 1295891513 | Latisha Shintrell Martin | Dentist | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 | 2006-12-29 |
| 1629181557 | Medical Facilities of America Xl | Skilled Nursing Facility | 120 Anderson Ave., Bowling Green, VA 22427 | 2006-08-16 |
| 1194725747 | Douglas Avery & Associates Ltd | Clinic/Center | 121 Courthouse Lane, Bowling Green, VA 22427 | 2005-07-26 |
| Find all providers in zip 22427 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1447885009 | Kathleen Pitt | Nurse Practitioner | 1982 Cross Willows Ct, Bowling Green, KY 42104-4731 | 2020-03-04 |
| 1225678782 | Michael Curtis | Nurse Practitioner | 661 Us 31w Byp Ste H, Bowling Green, KY 42101-4968 | 2020-01-13 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1932750213 | Carmen Desiree Hughes | Nurse Practitioner | 1325 Andrea St Ste 100, Bowling Green, KY 42104-5853 | 2019-09-26 |
| 1558929117 | Amber D Whitford | Nurse Practitioner | 406 S Main Cross St Unit A, Bowling Green, MO 63334-2239 | 2019-05-30 |
| 1306333828 | Amy Lynn Ramlow | Nurse Practitioner | 21885 Carter Rd, Bowling Green, OH 43402-9621 | 2018-04-19 |
| 1508380478 | Susan Kay Staples | Nurse Practitioner | 944 Searcy Way, Bowling Green, KY 42103-7168 | 2017-08-01 |
| 1437507860 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 350 Park St Ste 106, Bowling Green, KY 42101-1784 | 2016-05-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 22427 |
Please comment or provide details below to improve the information on ELISA BROOKE BIVINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.