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1093287286 NPI number — KATHLEEN KASPAR PNP-PC/AC

NPI Number: 1093287286
Health Care Provider/Practitioner: KATHLEEN KASPAR PNP-PC/AC

Information about “1093287286” NPI (KATHLEEN KASPAR PNP-PC/AC) exists in 1093287286 in HTML format HTML  |  1093287286 in plain Text format TXT  |  1093287286 in PDF (Portable Document Format) PDF  |  1093287286 in an XML format XML  formats.

NPI Number : 1093287286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093287286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KASPAR",
    "FirstName": "KATHLEEN",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PNP-PC/AC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANEY",
    "OtherFirstName": "KATIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5257 WINDFIELD GLEN CT NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LILBURN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30047-8206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-776-8458",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1001 JOHNSON FY RD NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-1605",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-776-8458",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/28/2018",
    "LastUpdateDate": "03/21/2023",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "RN313861",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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