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1588483838 NPI number — MELISSA HANEY

NPI Number: 1588483838
Health Care Provider/Practitioner: MELISSA HANEY

Information about “1588483838” NPI (MELISSA HANEY) exists in 1588483838 in HTML format HTML  |  1588483838 in plain Text format TXT  |  1588483838 in PDF (Portable Document Format) PDF  |  1588483838 in an XML format XML  formats.

NPI Number : 1588483838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588483838",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANEY",
    "FirstName": "MELISSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARRY",
    "OtherFirstName": "MELISSA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "606 E 9TH ST APT 51",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWBERG",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97132-3360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "627 NE EVANS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCMINNVILLE",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97128-3923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-702-9790",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2024",
    "LastUpdateDate": "11/14/2024",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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