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1073988770 NPI number — YIRKA DIAZ PLATT MSW, SWC

NPI Number: 1073988770
Health Care Provider/Practitioner: YIRKA DIAZ PLATT MSW, SWC

Information about “1073988770” NPI (YIRKA DIAZ PLATT MSW, SWC) exists in 1073988770 in HTML format HTML  |  1073988770 in plain Text format TXT  |  1073988770 in PDF (Portable Document Format) PDF  |  1073988770 in an XML format XML  formats.

NPI Number : 1073988770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073988770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PLATT",
    "FirstName": "YIRKA",
    "MiddleName": "DIAZ",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, SWC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIAZ REYES",
    "OtherFirstName": "YIRKA",
    "OtherMiddleName": "JIMENA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "54 HAYMAKER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SILVERTHORNE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80498-9512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-393-7266",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "360 PEAK ONE DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRISCO",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80443-5948",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-668-4040",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2015",
    "LastUpdateDate": "01/22/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "SWC.0000002281",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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