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1497560320 NPI number — JACOB ROY LAVERN BUTLER-SUMPTER I DSP

NPI Number: 1497560320
Health Care Provider/Practitioner: JACOB ROY LAVERN BUTLER-SUMPTER I DSP

Information about “1497560320” NPI (JACOB ROY LAVERN BUTLER-SUMPTER I DSP) exists in 1497560320 in HTML format HTML  |  1497560320 in plain Text format TXT  |  1497560320 in PDF (Portable Document Format) PDF  |  1497560320 in an XML format XML  formats.

NPI Number : 1497560320 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497560320",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUTLER-SUMPTER",
    "FirstName": "JACOB",
    "MiddleName": "ROY LAVERN",
    "NamePrefix": "MR.",
    "NameSuffix": "I",
    "Credential": "DSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SUMPTER",
    "OtherFirstName": "JACOB",
    "OtherMiddleName": "ROY LAVERN",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "I",
    "OtherCredential": "DSP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2610 W M CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68522-1006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-325-8555",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2600 W M CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68522-1008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-325-8555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/10/2025",
    "LastUpdateDate": "02/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "373H00000X",
        "TaxonomyName": "Day Training/Habilitation Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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