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1356522346 NPI number — JUDITH ANN ROSEVEAR M.S.,OTR/L

NPI Number: 1356522346
Health Care Provider/Practitioner: JUDITH ANN ROSEVEAR M.S.,OTR/L

Information about “1356522346” NPI (JUDITH ANN ROSEVEAR M.S.,OTR/L) exists in 1356522346 in HTML format HTML  |  1356522346 in plain Text format TXT  |  1356522346 in PDF (Portable Document Format) PDF  |  1356522346 in an XML format XML  formats.

NPI Number : 1356522346 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356522346",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSEVEAR",
    "FirstName": "JUDITH",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.,OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROSEVEAR-PUSEY",
    "OtherFirstName": "JUDITH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.,OTR/L",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "15650 NE 24TH ST STE C3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLEVUE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98008-2460",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-251-1747",
    "MailingAddressFaxNumber": "425-947-9841",
    "FirstLinePracticeLocationAddress": "15650 NE 24TH ST STE C3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-251-1747",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2007",
    "LastUpdateDate": "09/06/2018",
    "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": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT553",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "067850",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "31001125A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT 60067862",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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