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1316763212 NPI number — BARRY DIRKSEN SINGLETON PMHNP

NPI Number: 1316763212
Health Care Provider/Practitioner: BARRY DIRKSEN SINGLETON PMHNP

Information about “1316763212” NPI (BARRY DIRKSEN SINGLETON PMHNP) exists in 1316763212 in HTML format HTML  |  1316763212 in plain Text format TXT  |  1316763212 in PDF (Portable Document Format) PDF  |  1316763212 in an XML format XML  formats.

NPI Number : 1316763212 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316763212",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SINGLETON",
    "FirstName": "BARRY",
    "MiddleName": "DIRKSEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SINGLETON",
    "OtherFirstName": "DIRK",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PMHNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "206 BLUE GRASS CIR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37323-0802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-432-1981",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "928 NUUANU AVE STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96817-5190",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-777-9460",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2024",
    "LastUpdateDate": "11/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "37680",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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