NPI Code Detail JSON Logo

1417439183 NPI number — DANIELLE R WILLIAMS MA

NPI Number: 1417439183
Health Care Provider/Practitioner: DANIELLE R WILLIAMS MA

Information about “1417439183” NPI (DANIELLE R WILLIAMS MA) exists in 1417439183 in HTML format HTML  |  1417439183 in plain Text format TXT  |  1417439183 in PDF (Portable Document Format) PDF  |  1417439183 in an XML format XML  formats.

NPI Number : 1417439183 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417439183",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "DANIELLE",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YATES",
    "OtherFirstName": "DANI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 47",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49204-0047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-253-7387",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2437 SHELBY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46203-4252",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-253-7387",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2018",
    "LastUpdateDate": "12/12/2024",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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