NPI Code Detail JSON Logo

1740637057 NPI number — BREANNA MORRIS MS CCC-SLP

NPI Number: 1740637057
Health Care Provider/Practitioner: BREANNA MORRIS MS CCC-SLP

Information about “1740637057” NPI (BREANNA MORRIS MS CCC-SLP) exists in 1740637057 in HTML format HTML  |  1740637057 in plain Text format TXT  |  1740637057 in PDF (Portable Document Format) PDF  |  1740637057 in an XML format XML  formats.

NPI Number : 1740637057 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740637057",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORRIS",
    "FirstName": "BREANNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11999 COVERSTONE HILL CIR APT 611",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANASSAS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20109-7519",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-947-7973",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15800 NEABSCO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBRIDGE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22191-4505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-670-8268",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2016",
    "LastUpdateDate": "08/21/2019",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SL012611",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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