NPI Code Detail JSON Logo

1245630912 NPI number — SARA MCCREA-SMITH

NPI Number: 1245630912
Health Care Provider/Practitioner: SARA MCCREA-SMITH

Information about “1245630912” NPI (SARA MCCREA-SMITH) exists in 1245630912 in HTML format HTML  |  1245630912 in plain Text format TXT  |  1245630912 in PDF (Portable Document Format) PDF  |  1245630912 in an XML format XML  formats.

NPI Number : 1245630912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245630912",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCREA-SMITH",
    "FirstName": "SARA",
    "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": "5948 S OLD 3C HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTERVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43082-6042",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5948 S OLD 3C HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTERVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43082-6042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-797-6500",
    "PracticeLocationAddressFaxNumber": "614-797-6501",
    "EnumerationDate": "08/29/2014",
    "LastUpdateDate": "08/29/2014",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "20683070",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.