NPI Code Detail JSON Logo

1023820313 NPI number — SIENA LAUREN ANDRUS PA-C

NPI Number: 1023820313
Health Care Provider/Practitioner: SIENA LAUREN ANDRUS PA-C

Information about “1023820313” NPI (SIENA LAUREN ANDRUS PA-C) exists in 1023820313 in HTML format HTML  |  1023820313 in plain Text format TXT  |  1023820313 in PDF (Portable Document Format) PDF  |  1023820313 in an XML format XML  formats.

NPI Number : 1023820313 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023820313",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDRUS",
    "FirstName": "SIENA",
    "MiddleName": "LAUREN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "D'SOUZA",
    "OtherFirstName": "SIENA",
    "OtherMiddleName": "LAUREN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 STAN HARRIMAN BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STRAFFORD",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65757-9401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-429-7419",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2115 S FREMONT AVE STE 5000",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65804-2230",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-820-3912",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2025",
    "LastUpdateDate": "01/23/2025",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.