NPI Code Detail JSON Logo

1073935813 NPI number — JILLIAN CARTER

NPI Number: 1073935813
Health Care Provider/Practitioner: JILLIAN CARTER

Information about “1073935813” NPI (JILLIAN CARTER) exists in 1073935813 in HTML format HTML  |  1073935813 in plain Text format TXT  |  1073935813 in PDF (Portable Document Format) PDF  |  1073935813 in an XML format XML  formats.

NPI Number : 1073935813 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073935813",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARTER",
    "FirstName": "JILLIAN",
    "MiddleName": null,
    "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": "PO BOX 781076",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48278-1076",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-528-4800",
    "MailingAddressFaxNumber": "317-865-1479",
    "FirstLinePracticeLocationAddress": "6831 W 133RD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CEDAR LAKE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46303-8989",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-374-5970",
    "PracticeLocationAddressFaxNumber": "219-374-7505",
    "EnumerationDate": "01/14/2014",
    "LastUpdateDate": "04/14/2023",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "71004755A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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