Demetrie Oaxton

Key facts

NPI

1316211485

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

333 Hegenberger Rd
600
Oakland, CA 94621-1420

Phone

(510) 383-1605

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2012.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1316211485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HEGENBERGER RD",
            "address_2": "600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211420",
            "telephone_number": "510-383-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HEGENBERGER RD",
            "address_2": "600",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211420",
            "telephone_number": "510-383-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAXTON",
        "first_name": "DEMETRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Oakland, CA · Mental Health Counselor in California