Active NPI
Kenya Marie Barksdale
- Student in an Organized Health Care Education/Training Program
- Bingham Farms, MI
National Provider Identifier
1003359167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454 - Phone
- (248) 712-4266
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Mailing address
4040 Green Isle Way Apt 4
Saginaw, MI 48603-1408
Phone (313) 574-3938
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other practice location 2
4040 Green Isle Way
Apt 4
Saginaw, MI 48603-1408
Phone (313) 574-3938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1003359167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 GREEN ISLE WAY APT 4",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486031408",
"telephone_number": "313-574-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32100 TELEGRAPH RD STE 205",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252454",
"telephone_number": "248-712-4266"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"fax_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4040 Green Isle Way",
"address_2": "Apt 4",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486031408",
"country_code": "US",
"telephone_number": "313-574-3938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKSDALE",
"first_name": "KENYA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.