NPI Code Detail JSON Logo

1588544050 NPI number — LILYAN M WALKER

NPI Number: 1588544050
Health Care Provider/Practitioner: LILYAN M WALKER

Information about “1588544050” NPI (LILYAN M WALKER) exists in 1588544050 in HTML format HTML  |  1588544050 in plain Text format TXT  |  1588544050 in PDF (Portable Document Format) PDF  |  1588544050 in an XML format XML  formats.

NPI Number : 1588544050 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588544050",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "LILYAN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1401 S 14TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TERRE HAUTE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47802-1423",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1341 OHIO ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TERRE HAUTE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47807-3940",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "812-266-0974",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/05/2025",
    "LastUpdateDate": "09/05/2025",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "RBT2514781019150",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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