Michele Lynn Bingle, MSED., ED.S – Specialist

Key facts

NPI: 1003064668
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
License: 5 0442561 (PA)
Practice address: 711 E Soper Rd
Bad Axe, MI 48413-9497
Phone: (989) 269-6406
NPI assigned: Sep 8, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Huron Isd Local Education Agency (LEA) · Bad Axe, MI · NPI 1902988611

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5 0442561	PA	MD	Specialist

Practice roles

Organization	Specialty	Status	New patients
Huron Isd		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	5 0442561	PA	Yes

Addresses

Primary practice location

711 E Soper Rd
Bad Axe, MI 48413-9497

Mailing address

711 E Soper Rd
Bad Axe, MI 48413-9497
Phone (989) 269-6406

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2008.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1003064668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E SOPER RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139497",
            "telephone_number": "989-269-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E SOPER RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139497",
            "telephone_number": "989-269-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGLE",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "MSED., ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "5 0442561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

All providers in Bad Axe, MI · Specialist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.