1588948137 NPI number — CAROL ANN WHITMIRE L.AC., P.T.

NPI Number: 1588948137
Health Care Provider/Practitioner: CAROL ANN WHITMIRE L.AC., P.T.

NPI Number : 1588948137 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588948137",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITMIRE",
    "FirstName": "CAROL",
    "MiddleName": "ANN",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "L.AC., P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1700 W. ABINGDON DR. # 301",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALEXANDRIA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22314-1065",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-746-3830",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2101 MT. VERNON AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-706-9500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2011",
    "LastUpdateDate": "09/30/2011",
    "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": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0121000277",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": "2305004854",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}