NPI Code Detail JSON Logo

1154126092 NPI number — MEGAN DENISE GRIFFIN R.T. (R)(M)(CI) RRA

NPI Number: 1154126092
Health Care Provider/Practitioner: MEGAN DENISE GRIFFIN R.T. (R)(M)(CI) RRA

Information about “1154126092” NPI (MEGAN DENISE GRIFFIN R.T. (R)(M)(CI) RRA) exists in 1154126092 in HTML format HTML  |  1154126092 in plain Text format TXT  |  1154126092 in PDF (Portable Document Format) PDF  |  1154126092 in an XML format XML  formats.

NPI Number : 1154126092 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154126092",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRIFFIN",
    "FirstName": "MEGAN",
    "MiddleName": "DENISE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R.T. (R)(M)(CI) RRA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2785 PRINCETON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMINGTON",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87402-4506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-326-2964",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2785 PRINCETON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGTON",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87402-4506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-326-2964",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2025",
    "LastUpdateDate": "02/14/2025",
    "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": "2471C1101X",
          "TaxonomyName": "Cardiovascular-Interventional Technology Radiologic Technologist",
          "LicenseNumber": "446230",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2471C3402X",
          "TaxonomyName": "Radiography Radiologic Technologist",
          "LicenseNumber": "446230",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2471M2300X",
          "TaxonomyName": "Mammography Radiologic Technologist",
          "LicenseNumber": "446230",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "243U00000X",
          "TaxonomyName": "Radiology Practitioner Assistant",
          "LicenseNumber": "446230",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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