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1700693967 NPI number — JACQUEITA BELL CPC, CM

NPI Number: 1700693967
Health Care Provider/Practitioner: JACQUEITA BELL CPC, CM

Information about “1700693967” NPI (JACQUEITA BELL CPC, CM) exists in 1700693967 in HTML format HTML  |  1700693967 in plain Text format TXT  |  1700693967 in PDF (Portable Document Format) PDF  |  1700693967 in an XML format XML  formats.

NPI Number : 1700693967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700693967",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELL",
    "FirstName": "JACQUEITA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPC, CM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BELL",
    "OtherFirstName": "JACQUIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CPC, CM",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 44836",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98448-0836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-536-4580",
    "MailingAddressFaxNumber": "253-584-2649",
    "FirstLinePracticeLocationAddress": "13718 PACIFIC AVE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TACOMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98444-4746",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-536-4580",
    "PracticeLocationAddressFaxNumber": "253-584-2649",
    "EnumerationDate": "12/11/2024",
    "LastUpdateDate": "12/24/2024",
    "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": "172A00000X",
          "TaxonomyName": "Driver",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "372600000X",
          "TaxonomyName": "Adult Companion",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175T00000X",
          "TaxonomyName": "Peer Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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