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1982330205 NPI number — VICKIE LYNN ROBERTS

NPI Number: 1982330205
Health Care Provider/Practitioner: VICKIE LYNN ROBERTS

Information about “1982330205” NPI (VICKIE LYNN ROBERTS) exists in 1982330205 in HTML format HTML  |  1982330205 in plain Text format TXT  |  1982330205 in PDF (Portable Document Format) PDF  |  1982330205 in an XML format XML  formats.

NPI Number : 1982330205 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982330205",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBERTS",
    "FirstName": "VICKIE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEADINGHAM",
    "OtherFirstName": "VICKIE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "607 BRANDTLY RIDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COVINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41015-4227",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-322-6845",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "502 FARRELL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41011-3717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-578-3200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2022",
    "LastUpdateDate": "08/08/2022",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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