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1174913198 NPI number — CASSANDRA R STEWART NP

NPI Number: 1174913198
Health Care Provider/Practitioner: CASSANDRA R STEWART NP

Information about “1174913198” NPI (CASSANDRA R STEWART NP) exists in 1174913198 in HTML format HTML  |  1174913198 in plain Text format TXT  |  1174913198 in PDF (Portable Document Format) PDF  |  1174913198 in an XML format XML  formats.

NPI Number : 1174913198 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174913198",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART",
    "FirstName": "CASSANDRA",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "500 W 3RD AVE",
    "SecondLineMailingAddress": "STE 101",
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31701-1985",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-312-5800",
    "MailingAddressFaxNumber": "229-312-5853",
    "FirstLinePracticeLocationAddress": "425 W 3RD AVE",
    "SecondLinePracticeLocationAddress": "STE 550",
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31701-1941",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-432-8643",
    "PracticeLocationAddressFaxNumber": "229-432-8645",
    "EnumerationDate": "01/29/2015",
    "LastUpdateDate": "01/29/2015",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "RN170295",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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