Individual provider Active NPI

Bennice Byles

  • Social Worker
  • Monroe, MI
National Provider Identifier
1508210428
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093744 Issued in MI
Practice address
14733 S Telegraph Rd
Monroe, MI 48161-9545
Phone
(734) 243-8707
Fax
(734) 243-8710
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801093744 MI Primary

Addresses

Primary practice location

14733 S Telegraph Rd
Monroe, MI 48161-9545

Mailing address

14733 S Telegraph Rd
Monroe, MI 48161-9545
Phone (734) 243-8707

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801093744MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1508210428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14733 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619545",
            "telephone_number": "734-243-8707",
            "fax_number": "734-243-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619545",
            "telephone_number": "734-243-8707",
            "fax_number": "734-243-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLES",
        "first_name": "BENNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.