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1457907123 NPI number — KATHRYN SCHULTZ DIPPEL NP

NPI Number: 1457907123
Health Care Provider/Practitioner: KATHRYN SCHULTZ DIPPEL NP

Information about “1457907123” NPI (KATHRYN SCHULTZ DIPPEL NP) exists in 1457907123 in HTML format HTML  |  1457907123 in plain Text format TXT  |  1457907123 in PDF (Portable Document Format) PDF  |  1457907123 in an XML format XML  formats.

NPI Number : 1457907123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457907123",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIPPEL",
    "FirstName": "KATHRYN",
    "MiddleName": "SCHULTZ",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHULTZ",
    "OtherFirstName": "KATHRYN",
    "OtherMiddleName": "OLSON",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2217 VANDERBILT LN UNIT 6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REDONDO BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90278-3156",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-696-4478",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "505 PARNASSUS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94143-2204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-476-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/17/2019",
    "LastUpdateDate": "08/17/2019",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "95012504",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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