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1699196428 NPI number — ALEXIS DARNELL MOTLEY MS, RD, LDN

NPI Number: 1699196428
Health Care Provider/Practitioner: ALEXIS DARNELL MOTLEY MS, RD, LDN

Information about “1699196428” NPI (ALEXIS DARNELL MOTLEY MS, RD, LDN) exists in 1699196428 in HTML format HTML  |  1699196428 in plain Text format TXT  |  1699196428 in PDF (Portable Document Format) PDF  |  1699196428 in an XML format XML  formats.

NPI Number : 1699196428 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699196428",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOTLEY",
    "FirstName": "ALEXIS",
    "MiddleName": "DARNELL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, RD, LDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "148 DOUGLAS MEMORIAL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEESVILLE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71446-5404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-485-9238",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1115 E 7TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKDALE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71463-2301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-485-9238",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2013",
    "LastUpdateDate": "02/03/2019",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "1106397",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133NN1002X",
          "TaxonomyName": "Nutrition Education Nutritionist",
          "LicenseNumber": "1106397",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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