NPI Code Detail JSON Logo

1710535224 NPI number — YOLANDA FAYE TUCKER MSW

NPI Number: 1710535224
Health Care Provider/Practitioner: YOLANDA FAYE TUCKER MSW

Information about “1710535224” NPI (YOLANDA FAYE TUCKER MSW) exists in 1710535224 in HTML format HTML  |  1710535224 in plain Text format TXT  |  1710535224 in PDF (Portable Document Format) PDF  |  1710535224 in an XML format XML  formats.

NPI Number : 1710535224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710535224",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUCKER",
    "FirstName": "YOLANDA",
    "MiddleName": "FAYE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARD",
    "OtherFirstName": "YOLANDA",
    "OtherMiddleName": "FAYE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8800 49TH ST N STE 106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PINELLAS PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33782-5332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-544-0044",
    "MailingAddressFaxNumber": "727-545-0125",
    "FirstLinePracticeLocationAddress": "8800 49TH ST N STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PINELLAS PARK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33782-5332",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-544-0044",
    "PracticeLocationAddressFaxNumber": "727-545-0125",
    "EnumerationDate": "08/28/2019",
    "LastUpdateDate": "08/28/2019",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.