Melissa Dawn Bingham, M.A,, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2449 Issued in OK

Practice address

5110 S Yale Ave
Suite 102
Tulsa, OK 74135-7401

Phone

(918) 497-6554

Fax

(918) 645-8686

NPI assigned

Sep 25, 2006

Last updated

Jul 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1396845541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14483 S 209TH EAST AVE",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296314",
            "telephone_number": "918-279-0811",
            "fax_number": "918-279-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357401",
            "telephone_number": "918-497-6554",
            "fax_number": "918-645-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A,, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10063870B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10063870C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Seth Bradford Bingham, D.D.S.
• Jana Dianne Bingman, M.D.
• Bio-Medical Applications of Oklahoma, Inc. (Fresenius Medical Care of East Tulsa)
• Bio-Medical Applications of Oklahoma, Inc. (Fresenius Medical Care North Tulsa)
• Biomatrix LLC

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.