NPI Code Detail JSON Logo

1427452671 NPI number — ANGEL STEVENS CCC-SLP

NPI Number: 1427452671
Health Care Provider/Practitioner: ANGEL STEVENS CCC-SLP

Information about “1427452671” NPI (ANGEL STEVENS CCC-SLP) exists in 1427452671 in HTML format HTML  |  1427452671 in plain Text format TXT  |  1427452671 in PDF (Portable Document Format) PDF  |  1427452671 in an XML format XML  formats.

NPI Number : 1427452671 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427452671",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEVENS",
    "FirstName": "ANGEL",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9015 HIGHWAY 30 E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41339-7924",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-568-8553",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9015 HIGHWAY 30 E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41339-7924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-568-8553",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/17/2014",
    "LastUpdateDate": "10/17/2014",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "2825",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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