Individual provider Active NPI

Michelle L Bode, AU.D.

  • Audiologist
  • Towson, MD
National Provider Identifier
1043440555
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01220 Issued in MD
Practice address
8000 York Rd
Towson University, Iwb
Towson, MD 21252-0001
Phone
(410) 704-7300
Fax
(410) 704-6303
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01220 MD Primary
Audiologist 231H00000X 80160 TX
Audiologist-Hearing Aid Fitter 237600000X 80160 TX

Addresses

Primary practice location

8000 York Rd
Towson University, Iwb
Towson, MD 21252-0001

Mailing address

8000 York Rd
Towson University, Iwb
Towson, MD 21252-0001
Phone (410) 704-7300

Other names 1

  • Michelle L Levin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01220MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Dallas Audiologist PastSince Jun 3, 2012 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1043440555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 YORK RD",
            "address_2": "TOWSON UNIVERSITY, IWB",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212520001",
            "telephone_number": "410-704-7300",
            "fax_number": "410-704-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 YORK RD",
            "address_2": "TOWSON UNIVERSITY, IWB",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212520001",
            "telephone_number": "410-704-7300",
            "fax_number": "410-704-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01220",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80160",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LEVIN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.