NPI Code Detail JSON Logo

1174279160 NPI number — NICHOLE E HUMES LMFT

NPI Number: 1174279160
Health Care Provider/Practitioner: NICHOLE E HUMES LMFT

Information about “1174279160” NPI (NICHOLE E HUMES LMFT) exists in 1174279160 in HTML format HTML  |  1174279160 in plain Text format TXT  |  1174279160 in PDF (Portable Document Format) PDF  |  1174279160 in an XML format XML  formats.

NPI Number : 1174279160 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174279160",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUMES",
    "FirstName": "NICHOLE",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUMES",
    "OtherFirstName": "NIKKI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2206 SE 72ND AVE UNIT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97215-4048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-621-9349",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2206 SE 72ND AVE",
    "SecondLinePracticeLocationAddress": "UNIT B",
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-621-9349",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2022",
    "LastUpdateDate": "02/28/2022",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "121954",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "T1802",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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