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1396182838 NPI number — SPARKMAN BEHAVIORAL HEALTH, P. C.

NPI Number: 1396182838
Health Care Provider/Practitioner: SPARKMAN BEHAVIORAL HEALTH, P. C.

Information about “1396182838” NPI (SPARKMAN BEHAVIORAL HEALTH, P. C.) exists in 1396182838 in HTML format HTML  |  1396182838 in plain Text format TXT  |  1396182838 in PDF (Portable Document Format) PDF  |  1396182838 in an XML format XML  formats.

NPI Number : 1396182838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396182838",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPARKMAN BEHAVIORAL HEALTH, P. C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 571",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROSWELL",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88202-0571",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-559-8607",
    "MailingAddressFaxNumber": "866-559-8607",
    "FirstLinePracticeLocationAddress": "313 W COUNTRY CLUB RD",
    "SecondLinePracticeLocationAddress": "SUITE 5",
    "PracticeLocationAddressCityName": "ROSWELL",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88201-5804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-559-8607",
    "PracticeLocationAddressFaxNumber": "866-559-8607",
    "EnumerationDate": "05/23/2013",
    "LastUpdateDate": "06/20/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SPARKMAN",
    "AuthorizedOfficialFirstName": "LORETTA",
    "AuthorizedOfficialMiddleName": "MARGARET",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "575-626-1493",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "CNP-02005",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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