NPI Code Detail JSON Logo

1053796284 NPI number — ANNA MARIA MARSHALL LMSW

NPI Number: 1053796284
Health Care Provider/Practitioner: ANNA MARIA MARSHALL LMSW

Information about “1053796284” NPI (ANNA MARIA MARSHALL LMSW) exists in 1053796284 in HTML format HTML  |  1053796284 in plain Text format TXT  |  1053796284 in PDF (Portable Document Format) PDF  |  1053796284 in an XML format XML  formats.

NPI Number : 1053796284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053796284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARSHALL",
    "FirstName": "ANNA",
    "MiddleName": "MARIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ARCHULETA",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "900 STAGECOACH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIO RANCHO",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87124",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-720-9959",
    "MailingAddressFaxNumber": "575-751-1371",
    "FirstLinePracticeLocationAddress": "900 STAGECOACH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIO RANCHO",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87124",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-720-9959",
    "PracticeLocationAddressFaxNumber": "575-751-1371",
    "EnumerationDate": "07/29/2015",
    "LastUpdateDate": "06/25/2020",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "C-09787",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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