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AMANDA RAE BIVENS
NPI 1295670511
Student in an Organized Health Care Education/Training Program in Decatur, IL

Active since April 22, 2026
4621 DOGWOOD CT, DECATUR, IL 62526(217) 986-9048 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Rae Bivens NPPES

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

AMANDA RAE BIVENS (NPI 1295670511) is an individual student in an organized health care education/training program in Decatur, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1295670511
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA RAE BIVENS
Location Address4621 DOGWOOD CTDecatur, IL 62526-9326
Mailing Address4621 Dogwood CtDecatur, IL 62526-9326
Phone(217) 986-9048
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1295670511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4621 DOGWOOD CT, Decatur, IL 62526
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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 Amanda Bivens's NPI number?

The NPI number for Amanda Bivens is 1295670511. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Amanda Bivens located?

Amanda Bivens practices at 4621 Dogwood Ct, Decatur, IL 62526. The listed phone number is (217) 986-9048.

What is Amanda Bivens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Bivens was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.