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1164430963 NPI number — EMILY N STREVELS CRNA

NPI Number: 1164430963
Health Care Provider/Practitioner: EMILY N STREVELS CRNA

Information about “1164430963” NPI (EMILY N STREVELS CRNA) exists in 1164430963 in HTML format HTML  |  1164430963 in plain Text format TXT  |  1164430963 in PDF (Portable Document Format) PDF  |  1164430963 in an XML format XML  formats.

NPI Number : 1164430963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164430963",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STREVELS",
    "FirstName": "EMILY",
    "MiddleName": "N",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRUMAN",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": "N",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "341 TRANE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37919-6053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-588-0880",
    "MailingAddressFaxNumber": "865-584-3111",
    "FirstLinePracticeLocationAddress": "1924 ALCOA HWY",
    "SecondLinePracticeLocationAddress": "BOX U109",
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37920-1511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-305-9220",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/04/2006",
    "LastUpdateDate": "11/20/2012",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN132420",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "APN11853",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "073439",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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