1346498128 NPI number — SHARON LYNN LOVESETH CADC I, SOMATIC EDUC

NPI Number: 1346498128
Health Care Provider/Practitioner: SHARON LYNN LOVESETH CADC I, SOMATIC EDUC

NPI Number : 1346498128 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346498128",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOVESETH",
    "FirstName": "SHARON",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CADC I, SOMATIC EDUC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3824 MARSHALL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMICHAEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-550-2501",
    "MailingAddressFaxNumber": "510-787-3116",
    "FirstLinePracticeLocationAddress": "18 PROSPECT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT COSTA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94569-0223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-787-3486",
    "PracticeLocationAddressFaxNumber": "510-787-3116",
    "EnumerationDate": "09/04/2008",
    "LastUpdateDate": "07/02/2021",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CADC I 084397",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LCI03810315",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}