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1437914991 NPI number — KERA JENELLE LYMAN CPM, LDEM

NPI Number: 1437914991
Health Care Provider/Practitioner: KERA JENELLE LYMAN CPM, LDEM

Information about “1437914991” NPI (KERA JENELLE LYMAN CPM, LDEM) exists in 1437914991 in HTML format HTML  |  1437914991 in plain Text format TXT  |  1437914991 in PDF (Portable Document Format) PDF  |  1437914991 in an XML format XML  formats.

NPI Number : 1437914991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437914991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYMAN",
    "FirstName": "KERA",
    "MiddleName": "JENELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPM, LDEM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "716 HIGGINS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEENAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54956-3345",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-857-5182",
    "MailingAddressFaxNumber": "920-486-6813",
    "FirstLinePracticeLocationAddress": "716 HIGGINS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEENAH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54956-3345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-857-5182",
    "PracticeLocationAddressFaxNumber": "920-486-6813",
    "EnumerationDate": "02/14/2024",
    "LastUpdateDate": "11/06/2025",
    "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": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "13269852-3400",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "564-49",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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