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1629269204 NPI number — MS. CRISTINA WILLIAMS

NPI Number: 1629269204
Health Care Provider/Practitioner: MS. CRISTINA WILLIAMS

Information about “1629269204” NPI (MS. CRISTINA WILLIAMS) exists in 1629269204 in HTML format HTML  |  1629269204 in plain Text format TXT  |  1629269204 in PDF (Portable Document Format) PDF  |  1629269204 in an XML format XML  formats.

NPI Number : 1629269204 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629269204",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "CRISTINA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "805 LANDSFORD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANCASTER",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93535-2724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-394-2584",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "805 LANDSFORD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93535-2724",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-394-2584",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/07/2007",
    "LastUpdateDate": "01/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/15/2025",
    "NPIReactivationDate": "10/06/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "373H00000X",
          "TaxonomyName": "Day Training/Habilitation Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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