NPI Code Detail JSON Logo

1417472465 NPI number — MS. TRISTAN O HANSELL

NPI Number: 1417472465
Health Care Provider/Practitioner: MS. TRISTAN O HANSELL

Information about “1417472465” NPI (MS. TRISTAN O HANSELL) exists in 1417472465 in HTML format HTML  |  1417472465 in plain Text format TXT  |  1417472465 in PDF (Portable Document Format) PDF  |  1417472465 in an XML format XML  formats.

NPI Number : 1417472465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417472465",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANSELL",
    "FirstName": "TRISTAN",
    "MiddleName": "O",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1772 JACK WHITE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HORNELL",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14843-9745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-230-1027",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14 MAINE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRUNSWICK",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04011-2049",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-607-4022",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2017",
    "LastUpdateDate": "07/28/2023",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PS2489",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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