1457523060 NPI number — LINDA KING DYER M.A., CCC-A

NPI Number: 1457523060
Health Care Provider/Practitioner: LINDA KING DYER M.A., CCC-A

NPI Number : 1457523060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457523060",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYER",
    "FirstName": "LINDA",
    "MiddleName": "KING",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1600 EUREKA RD",
    "SecondLineMailingAddress": "KAISER PERMANENTE, HEAD & NECK SURGERY/AUDIOLOGY",
    "MailingAddressCityName": "ROSEVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95661-3027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-784-5880",
    "MailingAddressFaxNumber": "916-784-5662",
    "FirstLinePracticeLocationAddress": "1600 EUREKA RD",
    "SecondLinePracticeLocationAddress": "KAISER PERMANENTE, HEAD & NECK SURGERY/AUDIOLOGY",
    "PracticeLocationAddressCityName": "ROSEVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95661-3027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-784-5880",
    "PracticeLocationAddressFaxNumber": "916-784-5662",
    "EnumerationDate": "03/24/2008",
    "LastUpdateDate": "06/06/2008",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "AU862",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}