NPI Code Detail JSON Logo

1033421920 NPI number — SARAH RENEE CLAUSSEN D.O.

NPI Number: 1033421920
Health Care Provider/Practitioner: SARAH RENEE CLAUSSEN D.O.

Information about “1033421920” NPI (SARAH RENEE CLAUSSEN D.O.) exists in 1033421920 in HTML format HTML  |  1033421920 in plain Text format TXT  |  1033421920 in PDF (Portable Document Format) PDF  |  1033421920 in an XML format XML  formats.

NPI Number : 1033421920 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033421920",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLAUSSEN",
    "FirstName": "SARAH",
    "MiddleName": "RENEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VOLZ",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23845 MCBEAN PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VALENCIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91355-2001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-200-1370",
    "MailingAddressFaxNumber": "661-200-1379",
    "FirstLinePracticeLocationAddress": "2003 KOOTENAI HEALTH WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COEUR D ALENE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83814-6051",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-625-5187",
    "PracticeLocationAddressFaxNumber": "208-625-6892",
    "EnumerationDate": "07/08/2010",
    "LastUpdateDate": "06/02/2025",
    "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": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "20A16303",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "108577",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "1371746",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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