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1205254695 NPI number — ROSHINI YAPA

NPI Number: 1205254695
Health Care Provider/Practitioner: ROSHINI YAPA

Information about “1205254695” NPI (ROSHINI YAPA) exists in 1205254695 in HTML format HTML  |  1205254695 in plain Text format TXT  |  1205254695 in PDF (Portable Document Format) PDF  |  1205254695 in an XML format XML  formats.

NPI Number : 1205254695 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205254695",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YAPA",
    "FirstName": "ROSHINI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6182 W LINDA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHANDLER",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85226-5844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-875-9711",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "757 PACIFIC ST STE D2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTEREY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93940-2819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-375-6802",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2014",
    "LastUpdateDate": "10/20/2022",
    "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": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "59873",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "MD21043",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "DR.0061341",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "181712",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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