1750880019 NPI number — LINDSEY KAYE WALKER MA EDS, LCAS-A,

NPI Number: 1750880019
Health Care Provider/Practitioner: LINDSEY KAYE WALKER MA EDS, LCAS-A,

NPI Number : 1750880019 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750880019",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "LINDSEY",
    "MiddleName": "KAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA EDS, LCAS-A,",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 335",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOREST CITY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-220-4174",
    "MailingAddressFaxNumber": "828-220-4375",
    "FirstLinePracticeLocationAddress": "127 E TRADE ST",
    "SecondLinePracticeLocationAddress": "STE B100",
    "PracticeLocationAddressCityName": "FOREST CITY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28043-2201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-220-4174",
    "PracticeLocationAddressFaxNumber": "828-220-4375",
    "EnumerationDate": "02/01/2018",
    "LastUpdateDate": "10/09/2024",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LCAS24305",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "A14124",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}