NPI Code Detail JSON Logo

1104754282 NPI number — DELILAH FOLEY TUTTLE PA-C

NPI Number: 1104754282
Health Care Provider/Practitioner: DELILAH FOLEY TUTTLE PA-C

Information about “1104754282” NPI (DELILAH FOLEY TUTTLE PA-C) exists in 1104754282 in HTML format HTML  |  1104754282 in plain Text format TXT  |  1104754282 in PDF (Portable Document Format) PDF  |  1104754282 in an XML format XML  formats.

NPI Number : 1104754282 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104754282",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUTTLE",
    "FirstName": "DELILAH",
    "MiddleName": "FOLEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "72 FORD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMDEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06517-2510",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-645-1925",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "64 ROBBINS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATERBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06708-2600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-573-6000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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