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1477959666 NPI number — SHELLEY ALVES

NPI Number: 1477959666
Health Care Provider/Practitioner: SHELLEY ALVES

Information about “1477959666” NPI (SHELLEY ALVES) exists in 1477959666 in HTML format HTML  |  1477959666 in plain Text format TXT  |  1477959666 in PDF (Portable Document Format) PDF  |  1477959666 in an XML format XML  formats.

NPI Number : 1477959666 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477959666",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALVES",
    "FirstName": "SHELLEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAYLY",
    "OtherFirstName": "SHELLY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "139 WINDSOR PALMS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINDSOR",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95492-8094",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-529-0350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3322 CHANATE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ROSA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95404-1708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-576-8181",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/14/2014",
    "LastUpdateDate": "01/28/2016",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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