NPI Code Detail JSON Logo

1356678809 NPI number — MELINDA R TIMMONS L.M.F.T. M.S.

NPI Number: 1356678809
Health Care Provider/Practitioner: MELINDA R TIMMONS L.M.F.T. M.S.

Information about “1356678809” NPI (MELINDA R TIMMONS L.M.F.T. M.S.) exists in 1356678809 in HTML format HTML  |  1356678809 in plain Text format TXT  |  1356678809 in PDF (Portable Document Format) PDF  |  1356678809 in an XML format XML  formats.

NPI Number : 1356678809 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356678809",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TIMMONS",
    "FirstName": "MELINDA",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.M.F.T.   M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1520 N RANDOLPH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22207-3023",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-781-3586",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1487 CHAIN BRIDGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MC LEAN",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22101-5723",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-781-3586",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/04/2009",
    "LastUpdateDate": "02/28/2019",
    "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": "0717001434",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "255",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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