1760585236 NPI number — NANCY JOANN SLEEPER L.P.C., M.A.C.

NPI Number: 1760585236
Health Care Provider/Practitioner: NANCY JOANN SLEEPER L.P.C., M.A.C.

NPI Number : 1760585236 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760585236",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SLEEPER",
    "FirstName": "NANCY",
    "MiddleName": "JOANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.P.C., M.A.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "469 S CLUBHOUSE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIERRA VISTA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85635-8224",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-458-5829",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "434 CHRISTY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT HUACHUCA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85613-7001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-538-1313",
    "PracticeLocationAddressFaxNumber": "520-533-5492",
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "09/11/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LH00004509",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "4157-123",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}