NPI Code Detail JSON Logo

1164665683 NPI number — SASHA GRANTSKI PA

NPI Number: 1164665683
Health Care Provider/Practitioner: SASHA GRANTSKI PA

Information about “1164665683” NPI (SASHA GRANTSKI PA) exists in 1164665683 in HTML format HTML  |  1164665683 in plain Text format TXT  |  1164665683 in PDF (Portable Document Format) PDF  |  1164665683 in an XML format XML  formats.

NPI Number : 1164665683 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164665683",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRANTSKI",
    "FirstName": "SASHA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4004 PIONEER WOODS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68506-7548",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-484-4900",
    "MailingAddressFaxNumber": "402-484-6456",
    "FirstLinePracticeLocationAddress": "4004 PIONEER WOODS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68506-7548",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-484-4900",
    "PracticeLocationAddressFaxNumber": "402-484-6456",
    "EnumerationDate": "04/14/2009",
    "LastUpdateDate": "02/25/2021",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "669",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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