NPI Code Detail JSON Logo

1003200791 NPI number — CAITLIN MARIE AVERILL CRNP

NPI Number: 1003200791
Health Care Provider/Practitioner: CAITLIN MARIE AVERILL CRNP

Information about “1003200791” NPI (CAITLIN MARIE AVERILL CRNP) exists in 1003200791 in HTML format HTML  |  1003200791 in plain Text format TXT  |  1003200791 in PDF (Portable Document Format) PDF  |  1003200791 in an XML format XML  formats.

NPI Number : 1003200791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003200791",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVERILL",
    "FirstName": "CAITLIN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AVERILL",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "114 BUSINESS CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REISTERSTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21136-1229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-833-2772",
    "MailingAddressFaxNumber": "410-526-4897",
    "FirstLinePracticeLocationAddress": "114 BUSINESS CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REISTERSTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21136-1229",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-833-2772",
    "PracticeLocationAddressFaxNumber": "410-526-4897",
    "EnumerationDate": "03/20/2015",
    "LastUpdateDate": "03/20/2015",
    "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": "363LP2300X",
        "TaxonomyName": "Primary Care Nurse Practitioner",
        "LicenseNumber": "R196399",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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