1508911512 NPI number — LAURI E LIVERMAN APN. (RN, MSN, PMHNP

NPI Number: 1508911512
Health Care Provider/Practitioner: LAURI E LIVERMAN APN. (RN, MSN, PMHNP

NPI Number : 1508911512 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508911512",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIVERMAN",
    "FirstName": "LAURI",
    "MiddleName": "E",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APN. (RN, MSN, PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2501 WALNUT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOULDER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80302-5751",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-401-6211",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2501 WALNUT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOULDER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80302-5751",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-481-2366",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2007",
    "LastUpdateDate": "01/30/2025",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "APN.0990418-NP",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APN.0990418-NP",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}