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1295181717 NPI number — RUTH SAMPSON-PILGRIM

NPI Number: 1295181717
Health Care Provider/Practitioner: RUTH SAMPSON-PILGRIM

Information about “1295181717” NPI (RUTH SAMPSON-PILGRIM) exists in 1295181717 in HTML format HTML  |  1295181717 in plain Text format TXT  |  1295181717 in PDF (Portable Document Format) PDF  |  1295181717 in an XML format XML  formats.

NPI Number : 1295181717 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295181717",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAMPSON-PILGRIM",
    "FirstName": "RUTH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SAMPSON PILGRIM",
    "OtherFirstName": "RUTH",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NURSE PRACTITIONER",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "631 ORCHARD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANGHORNE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19047-3129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-752-6725",
    "MailingAddressFaxNumber": "215-752-6735",
    "FirstLinePracticeLocationAddress": "160 ROCK HILL ROAD",
    "SecondLinePracticeLocationAddress": "VISTA MEDICAL SERVICES,",
    "PracticeLocationAddressCityName": "BALACYNWOOD",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-674-5008",
    "PracticeLocationAddressFaxNumber": "610-668-1580",
    "EnumerationDate": "05/13/2016",
    "LastUpdateDate": "01/17/2023",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "SP015797",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "SP025224",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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