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1962182436 NPI number — KASSIDY TAYLOR WHITLEY

NPI Number: 1962182436
Health Care Provider/Practitioner: KASSIDY TAYLOR WHITLEY

Information about “1962182436” NPI (KASSIDY TAYLOR WHITLEY) exists in 1962182436 in HTML format HTML  |  1962182436 in plain Text format TXT  |  1962182436 in PDF (Portable Document Format) PDF  |  1962182436 in an XML format XML  formats.

NPI Number : 1962182436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962182436",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITLEY",
    "FirstName": "KASSIDY",
    "MiddleName": "TAYLOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EVERNHAM",
    "OtherFirstName": "KASSIDY",
    "OtherMiddleName": "TAYLOR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6800 WEISKOPF AVE STE 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCKINNEY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75070-5340",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6800 WEISKOPF AVE STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCKINNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75070-5340",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-995-5001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2023",
    "LastUpdateDate": "07/20/2023",
    "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": "2355S0801X",
        "TaxonomyName": "Speech-Language Assistant",
        "LicenseNumber": "43158",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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