NPI Code Detail JSON Logo

1144926007 NPI number — ERYIA SHANISE IRVING OT

NPI Number: 1144926007
Health Care Provider/Practitioner: ERYIA SHANISE IRVING OT

Information about “1144926007” NPI (ERYIA SHANISE IRVING OT) exists in 1144926007 in HTML format HTML  |  1144926007 in plain Text format TXT  |  1144926007 in PDF (Portable Document Format) PDF  |  1144926007 in an XML format XML  formats.

NPI Number : 1144926007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144926007",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IRVING",
    "FirstName": "ERYIA",
    "MiddleName": "SHANISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14540 ENGLISH PARK CIR UNIT 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40299-6473",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-975-4594",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5850 E LOVERS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75206-2902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-975-4594",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/02/2023",
    "LastUpdateDate": "02/02/2023",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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