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1336612159 NPI number — SHEENA MARIE GRIFFIN

NPI Number: 1336612159
Health Care Provider/Practitioner: SHEENA MARIE GRIFFIN

Information about “1336612159” NPI (SHEENA MARIE GRIFFIN) exists in 1336612159 in HTML format HTML  |  1336612159 in plain Text format TXT  |  1336612159 in PDF (Portable Document Format) PDF  |  1336612159 in an XML format XML  formats.

NPI Number : 1336612159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336612159",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRIFFIN",
    "FirstName": "SHEENA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "SHEENA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "53 CABELLO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PUNTA GORDA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33983-5206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8400 VAMO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34231-7807",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-966-5611",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2019",
    "LastUpdateDate": "04/20/2020",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "PTA21125",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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