NPI Code Detail JSON Logo

1629252374 NPI number — ALMA LUZ VELASQUEZ-ERMATINGER MS-CCC-SLP/L

NPI Number: 1629252374
Health Care Provider/Practitioner: ALMA LUZ VELASQUEZ-ERMATINGER MS-CCC-SLP/L

Information about “1629252374” NPI (ALMA LUZ VELASQUEZ-ERMATINGER MS-CCC-SLP/L) exists in 1629252374 in HTML format HTML  |  1629252374 in plain Text format TXT  |  1629252374 in PDF (Portable Document Format) PDF  |  1629252374 in an XML format XML  formats.

NPI Number : 1629252374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629252374",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELASQUEZ-ERMATINGER",
    "FirstName": "ALMA",
    "MiddleName": "LUZ",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS-CCC-SLP/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 10488",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEDFORD",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03110-0488",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-318-6552",
    "MailingAddressFaxNumber": "603-232-6641",
    "FirstLinePracticeLocationAddress": "108 RIVERWAY PL BLDG 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEDFORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03110-6730",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-318-6552",
    "PracticeLocationAddressFaxNumber": "603-232-6641",
    "EnumerationDate": "12/18/2007",
    "LastUpdateDate": "07/27/2012",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "0980",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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