NPI Code Detail JSON Logo

1588288989 NPI number — TA LISA NICOLE ALLEN CNA034570

NPI Number: 1588288989
Health Care Provider/Practitioner: TA LISA NICOLE ALLEN CNA034570

Information about “1588288989” NPI (TA LISA NICOLE ALLEN CNA034570) exists in 1588288989 in HTML format HTML  |  1588288989 in plain Text format TXT  |  1588288989 in PDF (Portable Document Format) PDF  |  1588288989 in an XML format XML  formats.

NPI Number : 1588288989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588288989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALLEN",
    "FirstName": "TA LISA",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA034570",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "982 ROLLING RIDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARSON CITY",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89705-8042",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-901-6661",
    "MailingAddressFaxNumber": "775-541-0802",
    "FirstLinePracticeLocationAddress": "982 ROLLING RIDGE CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARSON CITY",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89705-8042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-901-6661",
    "PracticeLocationAddressFaxNumber": "775-541-0802",
    "EnumerationDate": "06/01/2020",
    "LastUpdateDate": "12/29/2025",
    "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": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": "CNA034570",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "376K00000X",
          "TaxonomyName": "Nurse's Aide",
          "LicenseNumber": "CNA034570",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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