NPI Code Detail JSON Logo

1063226488 NPI number — DENECIA GUILFORD PMHNP

NPI Number: 1063226488
Health Care Provider/Practitioner: DENECIA GUILFORD PMHNP

Information about “1063226488” NPI (DENECIA GUILFORD PMHNP) exists in 1063226488 in HTML format HTML  |  1063226488 in plain Text format TXT  |  1063226488 in PDF (Portable Document Format) PDF  |  1063226488 in an XML format XML  formats.

NPI Number : 1063226488 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063226488",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUILFORD",
    "FirstName": "DENECIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "352 KOWETA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROVETOWN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30813-7020",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-533-2129",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "126 BARRINGTON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATHENS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30605-3580",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-389-6790",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2025",
    "LastUpdateDate": "02/10/2025",
    "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": "2084A0401X",
          "TaxonomyName": "Addiction Medicine (Psychiatry & Neurology) Physician",
          "LicenseNumber": "300381",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0804X",
          "TaxonomyName": "Child & Adolescent Psychiatry Physician",
          "LicenseNumber": "300381",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0805X",
          "TaxonomyName": "Geriatric Psychiatry Physician",
          "LicenseNumber": "300381",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "300381",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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