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1417721523 NPI number — TAMMY MARIE SZAKAL

NPI Number: 1417721523
Health Care Provider/Practitioner: TAMMY MARIE SZAKAL

Information about “1417721523” NPI (TAMMY MARIE SZAKAL) exists in 1417721523 in HTML format HTML  |  1417721523 in plain Text format TXT  |  1417721523 in PDF (Portable Document Format) PDF  |  1417721523 in an XML format XML  formats.

NPI Number : 1417721523 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417721523",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SZAKAL",
    "FirstName": "TAMMY",
    "MiddleName": "MARIE",
    "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": "1173 LAKESIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOWELL",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48843-1329",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-974-6140",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "39450 W TWELVE MILE RD STE 2B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NOVI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48377-3600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-661-7393",
    "PracticeLocationAddressFaxNumber": "248-344-4103",
    "EnumerationDate": "11/09/2023",
    "LastUpdateDate": "07/30/2025",
    "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": "163WA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Registered Nurse",
          "LicenseNumber": "4704300630",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "4704300630",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "4704300630",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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