Individual provider Active NPI

Madison Marie Bingham, MA P

  • Phlebotomy Technician
  • Lynnwood, WA
National Provider Identifier
1508603960
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
PC61567955 Issued in WA
Practice address
20508 56TH Ave W
Lynnwood, WA 98036-7650
Phone
(425) 678-1388
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X PC61567955 WA Primary

Addresses

Primary practice location

20508 56TH Ave W
Lynnwood, WA 98036-7650

Mailing address

20508 56TH Ave W
Lynnwood, WA 98036-7650
Phone (425) 678-1388

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC61567955WAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Recovery Centers-Health Services CurrentSince Jul 21, 2024 Accepting new patients
Evergreen Recovery Centers-Lynnwood Detox PastSince Jul 21, 2024 Accepting new patients

Locations

20508 56th Ave W
Lynnwood, WA 98036
Phone (425) 678-1390

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1508603960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "425-678-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "425-678-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "MA P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WA",
            "license": "PC61567955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.