NPI Code Detail JSON Logo

1114597135 NPI number — JALISA HARDY HHP

NPI Number: 1114597135
Health Care Provider/Practitioner: JALISA HARDY HHP

Information about “1114597135” NPI (JALISA HARDY HHP) exists in 1114597135 in HTML format HTML  |  1114597135 in plain Text format TXT  |  1114597135 in PDF (Portable Document Format) PDF  |  1114597135 in an XML format XML  formats.

NPI Number : 1114597135 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114597135",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDY",
    "FirstName": "JALISA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "HHP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAY",
    "OtherFirstName": "JALISA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "HHP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7537 RESCH LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLEN BURNIE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21061-6761",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-564-6577",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7537 RESCH LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLEN BURNIE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21061-6761",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-564-6577",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2021",
    "LastUpdateDate": "06/30/2021",
    "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": "171400000X",
        "TaxonomyName": "Health & Wellness Coach",
        "LicenseNumber": "232674007",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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