NPI Code Detail JSON Logo

1568871291 NPI number — SHARON MEDINA

NPI Number: 1568871291
Health Care Provider/Practitioner: SHARON MEDINA

Information about “1568871291” NPI (SHARON MEDINA) exists in 1568871291 in HTML format HTML  |  1568871291 in plain Text format TXT  |  1568871291 in PDF (Portable Document Format) PDF  |  1568871291 in an XML format XML  formats.

NPI Number : 1568871291 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568871291",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEDINA",
    "FirstName": "SHARON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15617 71ST AVE",
    "SecondLineMailingAddress": "APT. 5D",
    "MailingAddressCityName": "FLUSHING",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11367-2246",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-322-9558",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "140-13B SANFORD AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLUSHING",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11355",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-358-8288",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2014",
    "LastUpdateDate": "01/10/2018",
    "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": "101694",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.