Gina Birmingham

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CRC1329155 Issued in FL

Practice address

525 West King Street
St. Augustine, FL 32084-1086

Phone

(904) 824-0902

Fax

(904) 824-9635

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1295133999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320851086",
            "telephone_number": "904-824-0902",
            "fax_number": "904-824-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WEST KING STREET",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320841086",
            "telephone_number": "904-824-0902",
            "fax_number": "904-824-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CRC1329155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006510900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjana Bhargava
• Christen Bickerstaff, PT, DPT
• Eli Billeter
• Bio-Medical Applications of Florida, Inc.
• Paula Birch, CRNA
• Kimberly Birrell, LMSW
• Melinda Bisenius, M.A., CCC-SLP
• Barbara Marie Bish, PHARMD, CRPH
• Samy Farid Bishai, M.D
• Lisa Reisdorf Bishop

• Home Modifications Contractor in St. Augustine, FL
• Providers in St. Augustine, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.