NPI Code Detail JSON Logo

1124735113 NPI number — ANNA CHRISTINA LARSON

NPI Number: 1124735113
Health Care Provider/Practitioner: ANNA CHRISTINA LARSON

Information about “1124735113” NPI (ANNA CHRISTINA LARSON) exists in 1124735113 in HTML format HTML  |  1124735113 in plain Text format TXT  |  1124735113 in PDF (Portable Document Format) PDF  |  1124735113 in an XML format XML  formats.

NPI Number : 1124735113 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124735113",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LARSON",
    "FirstName": "ANNA",
    "MiddleName": "CHRISTINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7887 E BELLEVIEW AVE",
    "SecondLineMailingAddress": "STE 500",
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80111-6077",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-287-3093",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7887 E BELLEVIEW AVE",
    "SecondLinePracticeLocationAddress": "STE 500",
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80111-6077",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-287-3093",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/31/2022",
    "LastUpdateDate": "10/31/2022",
    "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": "246ZE0600X",
        "TaxonomyName": "Electroneurodiagnostic Specialist/Technologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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