1952652687 NPI number — BRITTANY SIMMONS BROWN AU.D., CCC-A

NPI Number: 1952652687
Health Care Provider/Practitioner: BRITTANY SIMMONS BROWN AU.D., CCC-A

NPI Number : 1952652687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952652687",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "BRITTANY",
    "MiddleName": "SIMMONS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AU.D., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 4868",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CALABASH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28467-1068",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-370-0118",
    "MailingAddressFaxNumber": "910-218-0034",
    "FirstLinePracticeLocationAddress": "4310 LUDGATE ST STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUMBERTON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28358-2472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-370-0118",
    "PracticeLocationAddressFaxNumber": "910-608-0269",
    "EnumerationDate": "09/20/2012",
    "LastUpdateDate": "05/01/2017",
    "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": "9726",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "9726",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}