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1609174291 NPI number — HEATHER ALEXIS LEMASTER

NPI Number: 1609174291
Health Care Provider/Practitioner: HEATHER ALEXIS LEMASTER

Information about “1609174291” NPI (HEATHER ALEXIS LEMASTER) exists in 1609174291 in HTML format HTML  |  1609174291 in plain Text format TXT  |  1609174291 in PDF (Portable Document Format) PDF  |  1609174291 in an XML format XML  formats.

NPI Number : 1609174291 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609174291",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEMASTER",
    "FirstName": "HEATHER",
    "MiddleName": "ALEXIS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEMASTER",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": "ALEXIS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CPM, LM",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "275 S WORTHINGTON ST SPC 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91977-6344",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-565-8831",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15644 POMERADO RD STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POWAY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92064-2455",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-278-2930",
    "PracticeLocationAddressFaxNumber": "858-278-2943",
    "EnumerationDate": "03/04/2011",
    "LastUpdateDate": "09/27/2019",
    "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": "176B00000X",
        "TaxonomyName": "Midwife",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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