NPI Code Detail JSON Logo

1073213500 NPI number — DONNA K FANNIN URMIN

NPI Number: 1073213500
Health Care Provider/Practitioner: DONNA K FANNIN URMIN

Information about “1073213500” NPI (DONNA K FANNIN URMIN) exists in 1073213500 in HTML format HTML  |  1073213500 in plain Text format TXT  |  1073213500 in PDF (Portable Document Format) PDF  |  1073213500 in an XML format XML  formats.

NPI Number : 1073213500 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073213500",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FANNIN URMIN",
    "FirstName": "DONNA",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5680 WELLESLEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH OLMSTED",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44070-3954",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-897-5950",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "33431 SAINT JAMES TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AVON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44011-4536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-374-6893",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/03/2023",
    "LastUpdateDate": "03/03/2023",
    "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": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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