1801269048 NPI number — MEREDITH LEIGH ANDREWS MA, SSP, LPA, HSP-PA

NPI Number: 1801269048
Health Care Provider/Practitioner: MEREDITH LEIGH ANDREWS MA, SSP, LPA, HSP-PA

NPI Number : 1801269048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801269048",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDREWS",
    "FirstName": "MEREDITH",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, SSP, LPA, HSP-PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "108 W FIRE TOWER RD STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTERVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28590-8408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-966-0211",
    "MailingAddressFaxNumber": "919-445-2356",
    "FirstLinePracticeLocationAddress": "108 W FIRE TOWER RD STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTERVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28590-8408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-830-3300",
    "PracticeLocationAddressFaxNumber": "252-830-3322",
    "EnumerationDate": "11/10/2015",
    "LastUpdateDate": "04/19/2022",
    "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": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": "4880",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TH0100X",
          "TaxonomyName": "Health Service Psychologist",
          "LicenseNumber": "4880",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}