NPI Code Detail JSON Logo

1578063012 NPI number — ARLETTA WILLIS SLP-A

NPI Number: 1578063012
Health Care Provider/Practitioner: ARLETTA WILLIS SLP-A

Information about “1578063012” NPI (ARLETTA WILLIS SLP-A) exists in 1578063012 in HTML format HTML  |  1578063012 in plain Text format TXT  |  1578063012 in PDF (Portable Document Format) PDF  |  1578063012 in an XML format XML  formats.

NPI Number : 1578063012 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578063012",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIS",
    "FirstName": "ARLETTA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIS",
    "OtherFirstName": "ARLETTE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SLP-A",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "18600 S PARKVIEW DR APT 2121",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77084-6148",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-303-6530",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18600 S PARKVIEW DR APT 2121",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77084-6148",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-303-6530",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2018",
    "LastUpdateDate": "02/20/2018",
    "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": "2355S0801X",
        "TaxonomyName": "Speech-Language Assistant",
        "LicenseNumber": "39495",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.