NPI Code Detail JSON Logo

1114179801 NPI number — SARAH NANETTE EHRSAM ATC

NPI Number: 1114179801
Health Care Provider/Practitioner: SARAH NANETTE EHRSAM ATC

Information about “1114179801” NPI (SARAH NANETTE EHRSAM ATC) exists in 1114179801 in HTML format HTML  |  1114179801 in plain Text format TXT  |  1114179801 in PDF (Portable Document Format) PDF  |  1114179801 in an XML format XML  formats.

NPI Number : 1114179801 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114179801",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EHRSAM",
    "FirstName": "SARAH",
    "MiddleName": "NANETTE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22900 OAK RIDGE DR",
    "SecondLineMailingAddress": "APT 145",
    "MailingAddressCityName": "SANTA CLARITA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91350-2504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-362-3377",
    "MailingAddressFaxNumber": "661-255-2972",
    "FirstLinePracticeLocationAddress": "26455 ROCKWELL CANYON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA CLARITA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91355-1803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-362-3377",
    "PracticeLocationAddressFaxNumber": "661-255-2972",
    "EnumerationDate": "10/14/2008",
    "LastUpdateDate": "10/14/2008",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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