NPI Code Detail JSON Logo

1548851348 NPI number — COURTNEY JOSEPH

NPI Number: 1548851348
Health Care Provider/Practitioner: COURTNEY JOSEPH

Information about “1548851348” NPI (COURTNEY JOSEPH) exists in 1548851348 in HTML format HTML  |  1548851348 in plain Text format TXT  |  1548851348 in PDF (Portable Document Format) PDF  |  1548851348 in an XML format XML  formats.

NPI Number : 1548851348 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548851348",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOSEPH",
    "FirstName": "COURTNEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHITE",
    "OtherFirstName": "COURTNEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4212 CORAL PARK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRUNSWICK",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31520-3016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-342-8875",
    "MailingAddressFaxNumber": "912-342-8016",
    "FirstLinePracticeLocationAddress": "130 N GROSS RD STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KINGSLAND",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31548-6263",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-342-8875",
    "PracticeLocationAddressFaxNumber": "912-342-8016",
    "EnumerationDate": "02/03/2021",
    "LastUpdateDate": "04/13/2021",
    "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": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "OTA15209",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "OTA001480",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": "OT008041",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT008041",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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