Simeon Nathaniel Darwick Birnbaum, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501014149 Issued in MI

Practice address

5708 Venture CT Ste a
Kalamazoo, MI 49009-2858

Phone

(914) 419-7552

NPI assigned

Nov 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1073386645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 TIPPERARY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081709",
            "telephone_number": "914-419-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "914-419-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWICK BIRNBAUM",
        "first_name": "SIMEON",
        "middle_name": "NATHANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501014149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiah Darden
• Taylor Darhower
• Druanna Darling
• Kathryn Ann Darling, PA-C
• Timothy Darling, CPO
• Hrigeeta Das
• Dasco HME, LLC
• Sonya Datta-Sandhu, C.N.M.
• Jacqueline Dauch
• Thomas Daufenbach, MD

• Massage Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.