Active NPI
Claude Willie Bynum
- Poetry Therapist
- Portsmouth, VA
National Provider Identifier
1548733199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Poetry Therapist
- Practice address
- 401 Bunche Blvd
Portsmouth, VA 23701-4221 - Phone
- (757) 966-5865
- Fax
- (757) 966-5865
- NPI assigned
- Jan 7, 2019
- Last updated
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Poetry Therapist | 102X00000X | Primary |
Addresses
Primary practice location
401 Bunche Blvd
Portsmouth, VA 23701-4221
Mailing address
401 Bunche Blvd
Portsmouth, VA 23701-4221
Phone (757) 966-5865
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1548733199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BUNCHE BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237014221",
"telephone_number": "757-966-5865",
"fax_number": "757-966-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BUNCHE BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237014221",
"telephone_number": "757-966-5865",
"fax_number": "757-966-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "CLAUDE",
"middle_name": "WILLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.