Active NPI
Michelle Renee Bainbridge, EMT BASIC
- Basic Emergency Medical Technician
- Mechanicsville, VA
National Provider Identifier
1811255151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B123008707
- Practice address
- 10061 Seminole Rd
Mechanicsville, VA 23116-4015 - Phone
- (804) 714-9011
- NPI assigned
- Apr 24, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B123008707 | VA | Primary |
Addresses
Primary practice location
10061 Seminole Rd
Mechanicsville, VA 23116-4015
Mailing address
10061 Seminole Rd
Mechanicsville, VA 23116-4015
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B123008707 | VA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1811255151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10061 SEMINOLE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231164015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10061 SEMINOLE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231164015",
"telephone_number": "804-714-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINBRIDGE",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "EMT BASIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "B123008707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.