NPI Code Detail JSON Logo

1295217495 NPI number — RANA HELEN PULLOM MSW

NPI Number: 1295217495
Health Care Provider/Practitioner: RANA HELEN PULLOM MSW

Information about “1295217495” NPI (RANA HELEN PULLOM MSW) exists in 1295217495 in HTML format HTML  |  1295217495 in plain Text format TXT  |  1295217495 in PDF (Portable Document Format) PDF  |  1295217495 in an XML format XML  formats.

NPI Number : 1295217495 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295217495",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PULLOM",
    "FirstName": "RANA",
    "MiddleName": "HELEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARRETT",
    "OtherFirstName": "RANA",
    "OtherMiddleName": "HELEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7311 N IRON BRIDGE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-444-8888",
    "MailingAddressFaxNumber": "509-444-7806",
    "FirstLinePracticeLocationAddress": "5901 N LIDGERWOOD ST STE 218",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99208-1122",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-444-8200",
    "PracticeLocationAddressFaxNumber": "509-434-0392",
    "EnumerationDate": "09/04/2018",
    "LastUpdateDate": "11/03/2025",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "54487",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LW61164016",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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