1346645207 NPI number — TABITHA MICHELLE VOSHELL YOUNG R.N., I.B.C.L.C.

NPI Number: 1346645207
Health Care Provider/Practitioner: TABITHA MICHELLE VOSHELL YOUNG R.N., I.B.C.L.C.

NPI Number : 1346645207 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346645207",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNG",
    "FirstName": "TABITHA",
    "MiddleName": "MICHELLE VOSHELL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R.N., I.B.C.L.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1311 RANSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDEPENDENCE",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64057-2717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-787-7144",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1311 RANSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDEPENDENCE",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64057-2717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-787-7144",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/04/2014",
    "LastUpdateDate": "11/11/2014",
    "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": "163WL0100X",
        "TaxonomyName": "Lactation Consultant (Registered Nurse)",
        "LicenseNumber": "L-56392",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}