NPI Code Detail JSON Logo

1588819940 NPI number — VICKI BANKS M.A.

NPI Number: 1588819940
Health Care Provider/Practitioner: VICKI BANKS M.A.

Information about “1588819940” NPI (VICKI BANKS M.A.) exists in 1588819940 in HTML format HTML  |  1588819940 in plain Text format TXT  |  1588819940 in PDF (Portable Document Format) PDF  |  1588819940 in an XML format XML  formats.

NPI Number : 1588819940 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588819940",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANKS",
    "FirstName": "VICKI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCMILLAN",
    "OtherFirstName": "VICKI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5501 N 19TH AVE",
    "SecondLineMailingAddress": "310",
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85015-2450",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-433-1344",
    "MailingAddressFaxNumber": "602-249-1570",
    "FirstLinePracticeLocationAddress": "6085 N 85TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85305-2565",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-877-4004",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2008",
    "LastUpdateDate": "11/25/2008",
    "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": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "1381",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "1381",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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