NPI Code Detail JSON Logo

1083340764 NPI number — MS. JORDYNN SURAYA BARLAGE

NPI Number: 1083340764
Health Care Provider/Practitioner: MS. JORDYNN SURAYA BARLAGE

Information about “1083340764” NPI (MS. JORDYNN SURAYA BARLAGE) exists in 1083340764 in HTML format HTML  |  1083340764 in plain Text format TXT  |  1083340764 in PDF (Portable Document Format) PDF  |  1083340764 in an XML format XML  formats.

NPI Number : 1083340764 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083340764",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARLAGE",
    "FirstName": "JORDYNN",
    "MiddleName": "SURAYA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROMMEL",
    "OtherFirstName": "JORDYNN",
    "OtherMiddleName": "SURAYA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1357 WORTHINGTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELTONA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32738-6136",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-977-8602",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "841 JIMMY ANN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYTONA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32117-4583",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-506-7289",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2022",
    "LastUpdateDate": "07/26/2022",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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