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1083113047 NPI number — KASSANDRA BARTHELEMY NP

NPI Number: 1083113047
Health Care Provider/Practitioner: KASSANDRA BARTHELEMY NP

Information about “1083113047” NPI (KASSANDRA BARTHELEMY NP) exists in 1083113047 in HTML format HTML  |  1083113047 in plain Text format TXT  |  1083113047 in PDF (Portable Document Format) PDF  |  1083113047 in an XML format XML  formats.

NPI Number : 1083113047 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083113047",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARTHELEMY",
    "FirstName": "KASSANDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5017 PEPPER LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOUGLASSVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19518-9505",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-431-5305",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2211 QUARRY DR STE E58C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST LAWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19609-1170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-773-1141",
    "PracticeLocationAddressFaxNumber": "484-214-7768",
    "EnumerationDate": "02/06/2018",
    "LastUpdateDate": "08/18/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "SP018713",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "364SG0600X",
          "TaxonomyName": "Gerontology Clinical Nurse Specialist",
          "LicenseNumber": "AG01180040",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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