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MRS. KELLY A BIVONA LPN
NPI 1164777330
Licensed Practical Nurse in West Islip, NY

Active since July 13, 2012
1256 MADISON AVE, WEST ISLIP, NY 11795(631) 422-0981 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly A Bivona Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY A BIVONA LPN (NPI 1164777330) is an individual licensed practical nurse in West Islip, New York, licensed in New York (266620-1) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1164777330
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLY A BIVONACredential: LPN
Location Address1256 MADISON AVEWest Islip, NY 11795-1717
Mailing Address1256 Madison AveWest Islip, NY 11795-1717 · (631) 422-0981
Phone(631) 422-0981
Sole ProprietorYes
Enumeration DateJuly 13, 2012
✔ NPI 1164777330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 266620-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1256 MADISON AVE, West Islip, NY 11795
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bivona's NPI number?

The NPI number for Kelly Bivona is 1164777330. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Kelly Bivona located?

Kelly Bivona practices at 1256 Madison Ave, West Islip, NY 11795. The listed phone number is (631) 422-0981.

What is Kelly Bivona's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Bivona was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.