NPI Code Detail JSON Logo

1144501107 NPI number — ROLANDA B COVERSON CRNP

NPI Number: 1144501107
Health Care Provider/Practitioner: ROLANDA B COVERSON CRNP

Information about “1144501107” NPI (ROLANDA B COVERSON CRNP) exists in 1144501107 in HTML format HTML  |  1144501107 in plain Text format TXT  |  1144501107 in PDF (Portable Document Format) PDF  |  1144501107 in an XML format XML  formats.

NPI Number : 1144501107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144501107",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COVERSON",
    "FirstName": "ROLANDA",
    "MiddleName": "B",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "400 S UNION AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YEADON",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19050-2922",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-241-0843",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1776 E LANCASTER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAOLI",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19301-1550",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-389-2727",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2011",
    "LastUpdateDate": "10/13/2011",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "SP011559",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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