Active NPI
Charmaine Bond, RN, LMT
- Massage Therapist
- Southfield, MI
National Provider Identifier
1952848475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501000867
- Practice address
- 30555 Southfield Rd
Suite 208
Southfield, MI 48076-1221 - Phone
- (248) 567-2755
- NPI assigned
- Jan 23, 2017
- Last updated
- Jan 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704235547 | MI | |
| Massage Therapist | 225700000X | 7501000867 | MI | Primary |
Addresses
Primary practice location
30555 Southfield Rd
Suite 208
Southfield, MI 48076-1221
Mailing address
30555 Southfield Rd
Suite 208
Southfield, MI 48076-1221
Phone (248) 567-2755
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704235547 | MI | MD | Registered Nurse |
| 7501000867 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1952848475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30555 SOUTHFIELD RD",
"address_2": "SUITE 208",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761221",
"telephone_number": "248-567-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30555 SOUTHFIELD RD",
"address_2": "SUITE 208",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761221",
"telephone_number": "248-567-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "CHARMAINE",
"credential": "RN, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704235547",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501000867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.