NPI Code Detail JSON Logo

1427740356 NPI number — CALLE CARROLL PA-C

NPI Number: 1427740356
Health Care Provider/Practitioner: CALLE CARROLL PA-C

Information about “1427740356” NPI (CALLE CARROLL PA-C) exists in 1427740356 in HTML format HTML  |  1427740356 in plain Text format TXT  |  1427740356 in PDF (Portable Document Format) PDF  |  1427740356 in an XML format XML  formats.

NPI Number : 1427740356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427740356",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARROLL",
    "FirstName": "CALLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROOKS",
    "OtherFirstName": "CALLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7070 E DR N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BATTLE CREEK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49014-8562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-660-1670",
    "MailingAddressFaxNumber": "269-660-0666",
    "FirstLinePracticeLocationAddress": "7070 E DR N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BATTLE CREEK",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49014-8562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-660-1670",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/22/2023",
    "LastUpdateDate": "11/26/2024",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "5601011937",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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