NPI Code Detail JSON Logo

1356107460 NPI number — SARAH GAGE

NPI Number: 1356107460
Health Care Provider/Practitioner: SARAH GAGE

Information about “1356107460” NPI (SARAH GAGE) exists in 1356107460 in HTML format HTML  |  1356107460 in plain Text format TXT  |  1356107460 in PDF (Portable Document Format) PDF  |  1356107460 in an XML format XML  formats.

NPI Number : 1356107460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356107460",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAGE",
    "FirstName": "SARAH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11424 LOWER SUNNY CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAGLE RIVER",
    "MailingAddressStateName": "AK",
    "MailingAddressPostalCode": "99577-7842",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-650-8777",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 E 36TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANCHORAGE",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99503-4135",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-600-3424",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2024",
    "LastUpdateDate": "02/26/2024",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "212784",
        "LicenseNumberStateCode": "AK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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