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1235534165 NPI number — ALEXANDRA LEIGH JOHNSON PA

NPI Number: 1235534165
Health Care Provider/Practitioner: ALEXANDRA LEIGH JOHNSON PA

Information about “1235534165” NPI (ALEXANDRA LEIGH JOHNSON PA) exists in 1235534165 in HTML format HTML  |  1235534165 in plain Text format TXT  |  1235534165 in PDF (Portable Document Format) PDF  |  1235534165 in an XML format XML  formats.

NPI Number : 1235534165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235534165",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "ALEXANDRA",
    "MiddleName": "LEIGH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOHLER",
    "OtherFirstName": "ALEXANDRA",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4545 R ST",
    "SecondLineMailingAddress": "100",
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68503-3799",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-465-4545",
    "MailingAddressFaxNumber": "402-465-3621",
    "FirstLinePracticeLocationAddress": "4545 R ST",
    "SecondLinePracticeLocationAddress": "100",
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68503-3799",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-465-4545",
    "PracticeLocationAddressFaxNumber": "402-465-3621",
    "EnumerationDate": "11/04/2014",
    "LastUpdateDate": "10/18/2017",
    "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": "1857",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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