NPI Code Detail JSON Logo

1316902505 NPI number — LOREN ANN HENSLEY DO

NPI Number: 1316902505
Health Care Provider/Practitioner: LOREN ANN HENSLEY DO

Information about “1316902505” NPI (LOREN ANN HENSLEY DO) exists in 1316902505 in HTML format HTML  |  1316902505 in plain Text format TXT  |  1316902505 in PDF (Portable Document Format) PDF  |  1316902505 in an XML format XML  formats.

NPI Number : 1316902505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316902505",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENSLEY",
    "FirstName": "LOREN",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOMINGUEZ",
    "OtherFirstName": "LOREN",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "26907 FOGGY CREEK RD STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESLEY CHAPEL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33544-6778",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-501-4468",
    "MailingAddressFaxNumber": "813-501-8620",
    "FirstLinePracticeLocationAddress": "26907 FOGGY CREEK RD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESLEY CHAPEL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33544",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-501-4468",
    "PracticeLocationAddressFaxNumber": "813-501-8620",
    "EnumerationDate": "04/19/2006",
    "LastUpdateDate": "09/13/2018",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "1933",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "OS12462",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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