NPI Code Detail JSON Logo

1093068363 NPI number — MAY ELIZABETH ROBERTSON

NPI Number: 1093068363
Health Care Provider/Practitioner: MAY ELIZABETH ROBERTSON

Information about “1093068363” NPI (MAY ELIZABETH ROBERTSON) exists in 1093068363 in HTML format HTML  |  1093068363 in plain Text format TXT  |  1093068363 in PDF (Portable Document Format) PDF  |  1093068363 in an XML format XML  formats.

NPI Number : 1093068363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093068363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBERTSON",
    "FirstName": "MAY",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBERTSON",
    "OtherFirstName": "BETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7601 CONROY WINDERMERE RD STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32835-2688",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-522-9919",
    "MailingAddressFaxNumber": "407-522-9343",
    "FirstLinePracticeLocationAddress": "7601 CONROY WINDERMERE RD STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32835-2688",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-522-9919",
    "PracticeLocationAddressFaxNumber": "407-522-9343",
    "EnumerationDate": "10/23/2012",
    "LastUpdateDate": "12/19/2017",
    "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": "MH15562",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.