NPI Code Detail JSON Logo

1336429760 NPI number — ANA MEJIA-ALFRED CM

NPI Number: 1336429760
Health Care Provider/Practitioner: ANA MEJIA-ALFRED CM

Information about “1336429760” NPI (ANA MEJIA-ALFRED CM) exists in 1336429760 in HTML format HTML  |  1336429760 in plain Text format TXT  |  1336429760 in PDF (Portable Document Format) PDF  |  1336429760 in an XML format XML  formats.

NPI Number : 1336429760 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336429760",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEJIA-ALFRED",
    "FirstName": "ANA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MEJIA",
    "OtherFirstName": "ANA",
    "OtherMiddleName": "C",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "195 PAGE MILL RD STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALO ALTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94306-2073",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "188-873-1899",
    "MailingAddressFaxNumber": "833-775-1861",
    "FirstLinePracticeLocationAddress": "112 MAVERICK CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRANBURY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76049-1381",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "188-873-1899",
    "PracticeLocationAddressFaxNumber": "833-775-1861",
    "EnumerationDate": "08/17/2011",
    "LastUpdateDate": "07/28/2025",
    "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": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "11020156",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "95022969",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "AP13324",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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