NPI Code Detail JSON Logo

1407897390 NPI number — JERRY STEARMAN LPE

NPI Number: 1407897390
Health Care Provider/Practitioner: JERRY STEARMAN LPE

Information about “1407897390” NPI (JERRY STEARMAN LPE) exists in 1407897390 in HTML format HTML  |  1407897390 in plain Text format TXT  |  1407897390 in PDF (Portable Document Format) PDF  |  1407897390 in an XML format XML  formats.

NPI Number : 1407897390 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407897390",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEARMAN",
    "FirstName": "JERRY",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LPE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3111 S 70TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SMITH",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72903-5017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-452-6650",
    "MailingAddressFaxNumber": "479-452-5847",
    "FirstLinePracticeLocationAddress": "3111 S 70TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SMITH",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72903-5017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-452-6650",
    "PracticeLocationAddressFaxNumber": "479-452-5847",
    "EnumerationDate": "06/09/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "9028E",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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