NPI Code Detail JSON Logo

1194845818 NPI number — ROXANNE JOY CLARK CAARR

NPI Number: 1194845818
Health Care Provider/Practitioner: ROXANNE JOY CLARK CAARR

Information about “1194845818” NPI (ROXANNE JOY CLARK CAARR) exists in 1194845818 in HTML format HTML  |  1194845818 in plain Text format TXT  |  1194845818 in PDF (Portable Document Format) PDF  |  1194845818 in an XML format XML  formats.

NPI Number : 1194845818 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194845818",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLARK",
    "FirstName": "ROXANNE",
    "MiddleName": "JOY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CAARR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "270 LAMBUTH AVE",
    "SecondLineMailingAddress": "APT B",
    "MailingAddressCityName": "OAKDALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95361-2802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-303-2755",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1904 RICHLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CERES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95307-4562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-541-2153",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/29/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CAARR",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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