1922291103 NPI number — KIMBERLY G. ARADO M.A. CCC-A

NPI Number: 1922291103
Health Care Provider/Practitioner: KIMBERLY G. ARADO M.A. CCC-A

NPI Number : 1922291103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922291103",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARADO",
    "FirstName": "KIMBERLY",
    "MiddleName": "G.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A. CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ARADO-JACOBS",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "G.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.A. CCC-A",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 1869",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLETCHER",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28732-1869",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-687-5616",
    "MailingAddressFaxNumber": "828-650-8076",
    "FirstLinePracticeLocationAddress": "80 DOCTORS DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE 1",
    "PracticeLocationAddressCityName": "HENDERSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28792-7289",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-650-8048",
    "PracticeLocationAddressFaxNumber": "828-650-8049",
    "EnumerationDate": "08/22/2007",
    "LastUpdateDate": "12/06/2016",
    "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": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "8239",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "8239",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}