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1528534377 NPI number — KRISTIN ELIZABETH O'DONNELL LMSW

NPI Number: 1528534377
Health Care Provider/Practitioner: KRISTIN ELIZABETH O'DONNELL LMSW

Information about “1528534377” NPI (KRISTIN ELIZABETH O'DONNELL LMSW) exists in 1528534377 in HTML format HTML  |  1528534377 in plain Text format TXT  |  1528534377 in PDF (Portable Document Format) PDF  |  1528534377 in an XML format XML  formats.

NPI Number : 1528534377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528534377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'DONNELL",
    "FirstName": "KRISTIN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOL",
    "OtherFirstName": "KRISTIN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "155 2ND AVE N",
    "SecondLineMailingAddress": "STE 102",
    "MailingAddressCityName": "TWIN FALLS",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83301-6163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-733-3308",
    "MailingAddressFaxNumber": "208-733-3315",
    "FirstLinePracticeLocationAddress": "155 2ND AVE N",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "TWIN FALLS",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83301-6163",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-733-3308",
    "PracticeLocationAddressFaxNumber": "208-733-3315",
    "EnumerationDate": "10/19/2018",
    "LastUpdateDate": "10/19/2018",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "LMSW-37850",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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