MEDICARE: KIMBERLEY BIVINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1033043567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEY BIVINS

Provider Business Mailing Address
First Line	:	509 KNOLLS DR UNIT 205
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23602-5744
Country	:	US
Telephone Number	:	757-698-5020
Fax Number	:	757-698-5020

Provider Business Practice Location Address
First Line	:	509 KNOLLS DR UNIT 205
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23602-5744
Country	:	US
Telephone Number	:	757-698-5020
Fax Number	:	757-698-5020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1750955639 — MELISSA K SCHAEFFER SLP CF
Practice Location Address:

41 OLD OYSTER POINT RD STE E
NEWPORT NEWS, VA
23602-7177

Practice Phone: 757-223-1466
Practice Fax: 757-233-1467

1790861193 — MS. SHARON ANN MEE LPC,LMFT,LSATP
Practice Location Address:

12695 MCMANUS BLVD BLDG 7B
NEWPORT NEWS, VA
23602-4476

Practice Phone: 757-753-6399
Practice Fax:

1407528227 — MRS. SARAH JEAN HUNT MSN, CRNA
Practice Location Address:

2 BERNARDINE DR
NEWPORT NEWS, VA
23602-4404

Practice Phone: 757-886-6000
Practice Fax:

1932799442 — KYLE HOWSON HARTLEY DNP, CRNA
Practice Location Address:

2 BERNARDINE DR
NEWPORT NEWS, VA
23602-4404

Practice Phone: 757-886-6000
Practice Fax:

1669305439 — MRS. JAZSEL ZABARTE FRIJAS
Practice Location Address:

107 KENNETH CT
NEWPORT NEWS, VA
23602-6559

Practice Phone: 804-213-2674
Practice Fax:

1205839461 — BRYAN N. BAINES M.D.
Practice Location Address:

13347 WARWICK BLVD
NEWPORT NEWS, VA
23602-5601

Practice Phone: 757-877-0214
Practice Fax: 757-875-0524

Directions to “ KIMBERLEY BIVINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.