NPI Code Detail JSON Logo

1386221646 NPI number — SOPHIE ELIZABETH CONRAD MA

NPI Number: 1386221646
Health Care Provider/Practitioner: SOPHIE ELIZABETH CONRAD MA

Information about “1386221646” NPI (SOPHIE ELIZABETH CONRAD MA) exists in 1386221646 in HTML format HTML  |  1386221646 in plain Text format TXT  |  1386221646 in PDF (Portable Document Format) PDF  |  1386221646 in an XML format XML  formats.

NPI Number : 1386221646 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386221646",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONRAD",
    "FirstName": "SOPHIE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CRAWFORD",
    "OtherFirstName": "SOPHIE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "32971 ANNABEL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOWE",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74940",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-213-9110",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 PARK AVE STE 1300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73102-7216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-900-4440",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2021",
    "LastUpdateDate": "03/06/2025",
    "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": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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