Active NPI
Kathleen L. De Bin, PA-C
- Physician Assistant
- Livonia, MI
National Provider Identifier
1326165481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002882
- Practice address
- 17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680 - Phone
- (734) 338-8300
- Fax
- (734) 338-8301
- NPI assigned
- Mar 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002882 | MI | Primary |
Addresses
Primary practice location
17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680
Mailing address
17197 N Laurel Park Dr
Suite 161
Livonia, MI 48152-2680
Phone (734) 338-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H231390 | Other | MI | BCBS GROUP NUMBER |
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1326165481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17197 N LAUREL PARK DR",
"address_2": "SUITE 161",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522680",
"telephone_number": "734-338-8300",
"fax_number": "734-338-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17197 N LAUREL PARK DR",
"address_2": "SUITE 161",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522680",
"telephone_number": "734-338-8300",
"fax_number": "734-338-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BIN",
"first_name": "KATHLEEN",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "700H231390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.