NPI Code Detail JSON Logo

1821427006 NPI number — DYRENDA MURRAY HUMPHREY MA MFT BA PSYCHOLOGY

NPI Number: 1821427006
Health Care Provider/Practitioner: DYRENDA MURRAY HUMPHREY MA MFT BA PSYCHOLOGY

Information about “1821427006” NPI (DYRENDA MURRAY HUMPHREY MA MFT BA PSYCHOLOGY) exists in 1821427006 in HTML format HTML  |  1821427006 in plain Text format TXT  |  1821427006 in PDF (Portable Document Format) PDF  |  1821427006 in an XML format XML  formats.

NPI Number : 1821427006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821427006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUMPHREY",
    "FirstName": "DYRENDA",
    "MiddleName": "MURRAY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MA MFT BA PSYCHOLOGY",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "724 ROBERTA ALECIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89031-7970",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-408-5052",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3925 N MLK BLVD STE 212",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89032-7676",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-461-1982",
    "PracticeLocationAddressFaxNumber": "702-644-6260",
    "EnumerationDate": "11/07/2013",
    "LastUpdateDate": "10/06/2020",
    "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": "225400000X",
          "TaxonomyName": "Rehabilitation Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "M13032",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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