NPI Code Detail JSON Logo

1477376671 NPI number — CIVERRA KITTII

NPI Number: 1477376671
Health Care Provider/Practitioner: CIVERRA KITTII

Information about “1477376671” NPI (CIVERRA KITTII) exists in 1477376671 in HTML format HTML  |  1477376671 in plain Text format TXT  |  1477376671 in PDF (Portable Document Format) PDF  |  1477376671 in an XML format XML  formats.

NPI Number : 1477376671 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477376671",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KITTII",
    "FirstName": "CIVERRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MICHELLE",
    "OtherFirstName": "ERES",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2921 OLD FRANKLIN RD APT 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANTIOCH",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37013-3178",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-290-1961",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5203 MARYLAND WAY STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRENTWOOD",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37027-5022",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-560-6622",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2024",
    "LastUpdateDate": "11/05/2024",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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