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1538053939 NPI number — MRS. ELIZABETH BLANDI BOEHME

NPI Number: 1538053939
Health Care Provider/Practitioner: MRS. ELIZABETH BLANDI BOEHME

Information about “1538053939” NPI (MRS. ELIZABETH BLANDI BOEHME) exists in 1538053939 in HTML format HTML  |  1538053939 in plain Text format TXT  |  1538053939 in PDF (Portable Document Format) PDF  |  1538053939 in an XML format XML  formats.

NPI Number : 1538053939 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538053939",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOEHME",
    "FirstName": "ELIZABETH",
    "MiddleName": "BLANDI",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GATTA",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "BLANDI",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1512 CUB RUN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WELLINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40387-8481",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-548-1070",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1512 CUB RUN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WELLINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40387-8481",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-548-1070",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "06/09/2025",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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