NPI Code Detail JSON Logo

1396054763 NPI number — CRYSTAL CUNDIFF-FRANKLIN

NPI Number: 1396054763
Health Care Provider/Practitioner: CRYSTAL CUNDIFF-FRANKLIN

Information about “1396054763” NPI (CRYSTAL CUNDIFF-FRANKLIN) exists in 1396054763 in HTML format HTML  |  1396054763 in plain Text format TXT  |  1396054763 in PDF (Portable Document Format) PDF  |  1396054763 in an XML format XML  formats.

NPI Number : 1396054763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396054763",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUNDIFF-FRANKLIN",
    "FirstName": "CRYSTAL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "192 BILL FANNIN ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST LIBERTY",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41472-9415",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-377-0795",
    "MailingAddressFaxNumber": "606-436-5797",
    "FirstLinePracticeLocationAddress": "115 ROCKWOOD LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAZARD",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41701-9415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-436-5761",
    "PracticeLocationAddressFaxNumber": "606-436-5797",
    "EnumerationDate": "10/01/2010",
    "LastUpdateDate": "05/21/2024",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "259026",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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