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1447685193 NPI number — TIFFANY N POYNTER ATC, LAT

NPI Number: 1447685193
Health Care Provider/Practitioner: TIFFANY N POYNTER ATC, LAT

Information about “1447685193” NPI (TIFFANY N POYNTER ATC, LAT) exists in 1447685193 in HTML format HTML  |  1447685193 in plain Text format TXT  |  1447685193 in PDF (Portable Document Format) PDF  |  1447685193 in an XML format XML  formats.

NPI Number : 1447685193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447685193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POYNTER",
    "FirstName": "TIFFANY",
    "MiddleName": "N",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ATC, LAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "POYTNER",
    "OtherFirstName": "TIFFANY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1798 CUNNINGHAM ESTATES RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT JOHNS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32259-2975",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-378-6907",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5530 FIRESTONE RD",
    "SecondLinePracticeLocationAddress": "SUITE 201",
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32244-1530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-436-8571",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/12/2013",
    "LastUpdateDate": "09/26/2016",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "AL 3488",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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