NPI Code Detail JSON Logo

1003078361 NPI number — LEAH MARIE UMPHLETT MD

NPI Number: 1003078361
Health Care Provider/Practitioner: LEAH MARIE UMPHLETT MD

Information about “1003078361” NPI (LEAH MARIE UMPHLETT MD) exists in 1003078361 in HTML format HTML  |  1003078361 in plain Text format TXT  |  1003078361 in PDF (Portable Document Format) PDF  |  1003078361 in an XML format XML  formats.

NPI Number : 1003078361 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003078361",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UMPHLETT",
    "FirstName": "LEAH",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ULATOWSKI",
    "OtherFirstName": "LEAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "108 HEATHER WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027-4384",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-799-2032",
    "MailingAddressFaxNumber": "615-661-4253",
    "FirstLinePracticeLocationAddress": "5111 MARYLAND WAY STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRENTWOOD",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37027-7513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-661-4256",
    "PracticeLocationAddressFaxNumber": "615-661-4253",
    "EnumerationDate": "06/27/2008",
    "LastUpdateDate": "04/30/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "39020000X",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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