NPI Code Detail JSON Logo

1518862689 NPI number — ASPEN TYREKA CHASE

NPI Number: 1518862689
Health Care Provider/Practitioner: ASPEN TYREKA CHASE

Information about “1518862689” NPI (ASPEN TYREKA CHASE) exists in 1518862689 in HTML format HTML  |  1518862689 in plain Text format TXT  |  1518862689 in PDF (Portable Document Format) PDF  |  1518862689 in an XML format XML  formats.

NPI Number : 1518862689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518862689",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHASE",
    "FirstName": "ASPEN",
    "MiddleName": "TYREKA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHASE",
    "OtherFirstName": "ASPEN",
    "OtherMiddleName": "LASHAWN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "115 SUDBROOK LN STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PIKESVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21208-4184",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-353-9547",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "115 SUDBROOK LN STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PIKESVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21208-4184",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-353-9547",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2026",
    "LastUpdateDate": "10/09/2026",
    "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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