NPI Code Detail JSON Logo

1114572625 NPI number — TIFFANY CASSANDRA LOCKHART

NPI Number: 1114572625
Health Care Provider/Practitioner: TIFFANY CASSANDRA LOCKHART

Information about “1114572625” NPI (TIFFANY CASSANDRA LOCKHART) exists in 1114572625 in HTML format HTML  |  1114572625 in plain Text format TXT  |  1114572625 in PDF (Portable Document Format) PDF  |  1114572625 in an XML format XML  formats.

NPI Number : 1114572625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114572625",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOCKHART",
    "FirstName": "TIFFANY",
    "MiddleName": "CASSANDRA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DORSEY",
    "OtherFirstName": "TIFFANY",
    "OtherMiddleName": "CASSANDRA",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "306 MANSION ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORT GIBSON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39150-2220",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-702-1409",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "60 ROUX ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NATCHEZ",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-891-8100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/02/2019",
    "LastUpdateDate": "08/02/2019",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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