NPI Code Detail JSON Logo

1225409774 NPI number — ERIKA LYNN CARRIER PA-C

NPI Number: 1225409774
Health Care Provider/Practitioner: ERIKA LYNN CARRIER PA-C

Information about “1225409774” NPI (ERIKA LYNN CARRIER PA-C) exists in 1225409774 in HTML format HTML  |  1225409774 in plain Text format TXT  |  1225409774 in PDF (Portable Document Format) PDF  |  1225409774 in an XML format XML  formats.

NPI Number : 1225409774 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225409774",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARRIER",
    "FirstName": "ERIKA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BULLERT",
    "OtherFirstName": "ERIKA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "400 EAST THIRD STREET MCL2CRED",
    "SecondLineMailingAddress": "ESSENTIA HEALTH DULUTH CLINIC",
    "MailingAddressCityName": "DULUTH",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55805-1951",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "218-786-8319",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1615 MAPLE LN STE 1",
    "SecondLinePracticeLocationAddress": "ESSENTIA HEALTH ASHLAND CLINIC",
    "PracticeLocationAddressCityName": "ASHLAND",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54806-3610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-685-7500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2015",
    "LastUpdateDate": "09/28/2016",
    "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": "3680-23",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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