NPI Code Detail JSON Logo

1396633558 NPI number — TIFFANY LYNN-MARIE WALKER CNA, CMA

NPI Number: 1396633558
Health Care Provider/Practitioner: TIFFANY LYNN-MARIE WALKER CNA, CMA

Information about “1396633558” NPI (TIFFANY LYNN-MARIE WALKER CNA, CMA) exists in 1396633558 in HTML format HTML  |  1396633558 in plain Text format TXT  |  1396633558 in PDF (Portable Document Format) PDF  |  1396633558 in an XML format XML  formats.

NPI Number : 1396633558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396633558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "TIFFANY",
    "MiddleName": "LYNN-MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA, CMA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MERIZALDE",
    "OtherFirstName": "TIFFANY",
    "OtherMiddleName": "LYNN-MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CNA,CMA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3950 N 104TH PLZ APT 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OMAHA",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68134-7746",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-658-2249",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3950 N 104TH PLZ APT 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OMAHA",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68134-7746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-658-2249",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2025",
    "LastUpdateDate": "06/26/2025",
    "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": "373H00000X",
        "TaxonomyName": "Day Training/Habilitation Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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