Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rae Bivens

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295670511

Amanda Rae Bivens is a Student in an Organized Health Care Education/Training Program in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
Specialties on file
2

Practice location Address checks out

4621 Dogwood Ct
Decatur, IL 62526-9326
Phone: (217) 986-9048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)
Athletic Trainer Taxonomy 2255A2300X (IL)

Record details

NPI number1295670511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address4621 Dogwood Ct, Decatur, IL 62526-9326

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