NPI Code Detail JSON Logo

1114651965 NPI number — AMY LYNN SCHWARTZKOPF MS, L/AT, ATC

NPI Number: 1114651965
Health Care Provider/Practitioner: AMY LYNN SCHWARTZKOPF MS, L/AT, ATC

Information about “1114651965” NPI (AMY LYNN SCHWARTZKOPF MS, L/AT, ATC) exists in 1114651965 in HTML format HTML  |  1114651965 in plain Text format TXT  |  1114651965 in PDF (Portable Document Format) PDF  |  1114651965 in an XML format XML  formats.

NPI Number : 1114651965 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114651965",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHWARTZKOPF",
    "FirstName": "AMY",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS,  L/AT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOWARD",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS,  L/AT, ATC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "68 LIBERTY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HANSCOM AFB",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01731-2679",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-970-1117",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "489 WINTHROP ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEDFORD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02155-2393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-393-2257",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2022",
    "LastUpdateDate": "07/15/2022",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "1725",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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