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1255024089 NPI number — ALEXIS SCHMID CRNA

NPI Number: 1255024089
Health Care Provider/Practitioner: ALEXIS SCHMID CRNA

Information about “1255024089” NPI (ALEXIS SCHMID CRNA) exists in 1255024089 in HTML format HTML  |  1255024089 in plain Text format TXT  |  1255024089 in PDF (Portable Document Format) PDF  |  1255024089 in an XML format XML  formats.

NPI Number : 1255024089 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255024089",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHMID",
    "FirstName": "ALEXIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2587 W TEMPLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHANDLER",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85224-7818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-723-9273",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4605 E ELWOOD ST STE 500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85040-1978",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-256-1518",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2023",
    "LastUpdateDate": "03/07/2024",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "8483114-3102",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "294271",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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