1154651156 NPI number — SUNSHINE WU FISHER L.C.S.W.

NPI Number: 1154651156
Health Care Provider/Practitioner: SUNSHINE WU FISHER L.C.S.W.

NPI Number : 1154651156 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154651156",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FISHER",
    "FirstName": "SUNSHINE",
    "MiddleName": "WU",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WU",
    "OtherFirstName": "SUNSHINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "74 CRESTLINE DR",
    "SecondLineMailingAddress": "APT 9",
    "MailingAddressCityName": "SAN FRANCISCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94131-3421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-269-3286",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2001 WINWARD WAY",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "SAN MATEO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94404-2469",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-931-1832",
    "PracticeLocationAddressFaxNumber": "650-931-1897",
    "EnumerationDate": "01/13/2010",
    "LastUpdateDate": "01/13/2010",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "26228",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}