NPI Code Detail JSON Logo

1417195934 NPI number — ADAM J SUMMERS MA, MT-BC

NPI Number: 1417195934
Health Care Provider/Practitioner: ADAM J SUMMERS MA, MT-BC

Information about “1417195934” NPI (ADAM J SUMMERS MA, MT-BC) exists in 1417195934 in HTML format HTML  |  1417195934 in plain Text format TXT  |  1417195934 in PDF (Portable Document Format) PDF  |  1417195934 in an XML format XML  formats.

NPI Number : 1417195934 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417195934",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUMMERS",
    "FirstName": "ADAM",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, MT-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STAUB",
    "OtherFirstName": "ADAM",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5 OLDE HICKORY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORALVILLE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52241-1145",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 HAWKINS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IOWA CITY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52242-1009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "319-356-4718",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2009",
    "LastUpdateDate": "12/17/2024",
    "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": "225A00000X",
        "TaxonomyName": "Music Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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