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1497235220 NPI number — MELISSA RENEE CURTIS B.S.

NPI Number: 1497235220
Health Care Provider/Practitioner: MELISSA RENEE CURTIS B.S.

Information about “1497235220” NPI (MELISSA RENEE CURTIS B.S.) exists in 1497235220 in HTML format HTML  |  1497235220 in plain Text format TXT  |  1497235220 in PDF (Portable Document Format) PDF  |  1497235220 in an XML format XML  formats.

NPI Number : 1497235220 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497235220",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CURTIS",
    "FirstName": "MELISSA",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "B.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CURTIS",
    "OtherFirstName": "MELISS",
    "OtherMiddleName": "MASHBURN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "B.S.,",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "231 SUMMER LAKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUMMERTOWN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38483-7394",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-201-6739",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 SCHOOL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38401-3108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-548-9653",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2018",
    "LastUpdateDate": "08/21/2018",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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