NPI Code Detail JSON Logo

1174841845 NPI number — CAROL YVONNE CONNER BS

NPI Number: 1174841845
Health Care Provider/Practitioner: CAROL YVONNE CONNER BS

Information about “1174841845” NPI (CAROL YVONNE CONNER BS) exists in 1174841845 in HTML format HTML  |  1174841845 in plain Text format TXT  |  1174841845 in PDF (Portable Document Format) PDF  |  1174841845 in an XML format XML  formats.

NPI Number : 1174841845 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174841845",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONNER",
    "FirstName": "CAROL",
    "MiddleName": "YVONNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "BS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3625 WATERFALL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSCALOOSA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35406-2935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-454-0492",
    "MailingAddressFaxNumber": "205-633-2773",
    "FirstLinePracticeLocationAddress": "627 29TH ST APT B2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUSCALOOSA",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35401-7194",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-454-0492",
    "PracticeLocationAddressFaxNumber": "205-633-2773",
    "EnumerationDate": "05/05/2010",
    "LastUpdateDate": "05/05/2010",
    "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": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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