SUE ANN BICKLEY NP NPI 1801188743

NPI Information

NPI: 1801188743
Provider Name: SUE ANN BICKLEY, NP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
615 N MICHIGAN ST FL 1
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-3050
Get Directions

Sue Ann Bickley, NP is a neonatal nurse practitioner in South Bend, IN. Sue Ann Bickley, NP NPI is 1801188743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 N MICHIGAN ST FL 1
SOUTH BEND, IN
ZIP 46601-033
Phone: (574) 647-3050
Fax: (574) 647-1094

The NPI 1801188743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	71009218A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201026570	MEDICAID	INDIANA
2	261970120	OTHER	INDIANA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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