NPI Code Detail JSON Logo

1639038185 NPI number — SAMIYAH COLEMAN

NPI Number: 1639038185
Health Care Provider/Practitioner: SAMIYAH COLEMAN

Information about “1639038185” NPI (SAMIYAH COLEMAN) exists in 1639038185 in HTML format HTML  |  1639038185 in plain Text format TXT  |  1639038185 in PDF (Portable Document Format) PDF  |  1639038185 in an XML format XML  formats.

NPI Number : 1639038185 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639038185",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLEMAN",
    "FirstName": "SAMIYAH",
    "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": "18 N OAK AVE APT A2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLIFTON HEIGHTS",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19018-1324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-403-6984",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 WASHINGTON LN # W224",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JENKINTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19046-3505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-403-6984",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/20/2026",
    "LastUpdateDate": "01/20/2026",
    "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": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "PN326070",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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