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1689113268 NPI number — ASHLIE DARREL BUTLER PMHNP-DNP

NPI Number: 1689113268
Health Care Provider/Practitioner: ASHLIE DARREL BUTLER PMHNP-DNP

Information about “1689113268” NPI (ASHLIE DARREL BUTLER PMHNP-DNP) exists in 1689113268 in HTML format HTML  |  1689113268 in plain Text format TXT  |  1689113268 in PDF (Portable Document Format) PDF  |  1689113268 in an XML format XML  formats.

NPI Number : 1689113268 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689113268",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUTLER",
    "FirstName": "ASHLIE",
    "MiddleName": "DARREL",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "PMHNP-DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BUTLER",
    "OtherFirstName": "ASHLIE",
    "OtherMiddleName": "DARREL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PMHNP-DNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "11648 INWOOD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JAMAICA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11436-1348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-728-7621",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "116-48 INWOOD STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JAMAICA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11436",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-728-7621",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/16/2017",
    "LastUpdateDate": "04/28/2022",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "40280901",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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