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1598956252 NPI number — MRS. PRISCILLA NOEL EKERSON

NPI Number: 1598956252
Health Care Provider/Practitioner: MRS. PRISCILLA NOEL EKERSON

Information about “1598956252” NPI (MRS. PRISCILLA NOEL EKERSON) exists in 1598956252 in HTML format HTML  |  1598956252 in plain Text format TXT  |  1598956252 in PDF (Portable Document Format) PDF  |  1598956252 in an XML format XML  formats.

NPI Number : 1598956252 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598956252",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EKERSON",
    "FirstName": "PRISCILLA",
    "MiddleName": "NOEL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAW",
    "OtherFirstName": "PRISCILLA",
    "OtherMiddleName": "NOEL",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1717 S J ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98405-4933",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-985-6403",
    "MailingAddressFaxNumber": "253-985-6879",
    "FirstLinePracticeLocationAddress": "1717 S J ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TACOMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98405-4933",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-985-6403",
    "PracticeLocationAddressFaxNumber": "253-985-6879",
    "EnumerationDate": "08/07/2007",
    "LastUpdateDate": "04/11/2025",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "574160",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "080296",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "AP60565020",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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