NPI Code Detail JSON Logo

1508231077 NPI number — EDNA EVE OLIVIERA

NPI Number: 1508231077
Health Care Provider/Practitioner: EDNA EVE OLIVIERA

Information about “1508231077” NPI (EDNA EVE OLIVIERA) exists in 1508231077 in HTML format HTML  |  1508231077 in plain Text format TXT  |  1508231077 in PDF (Portable Document Format) PDF  |  1508231077 in an XML format XML  formats.

NPI Number : 1508231077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508231077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLIVIERA",
    "FirstName": "EDNA",
    "MiddleName": "EVE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OLIVIERA",
    "OtherFirstName": "EDNA",
    "OtherMiddleName": "EVE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1 BROOKDALE PLZ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-240-5324",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 BROOKDALE PLZ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11212-3139",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-240-5324",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/09/2015",
    "LastUpdateDate": "01/22/2018",
    "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": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "017321",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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