NPI Code Detail JSON Logo

1639085087 NPI number — CARIE KAY TOL

NPI Number: 1639085087
Health Care Provider/Practitioner: CARIE KAY TOL

Information about “1639085087” NPI (CARIE KAY TOL) exists in 1639085087 in HTML format HTML  |  1639085087 in plain Text format TXT  |  1639085087 in PDF (Portable Document Format) PDF  |  1639085087 in an XML format XML  formats.

NPI Number : 1639085087 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639085087",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TOL",
    "FirstName": "CARIE",
    "MiddleName": "KAY",
    "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": "2320 STEARNLEE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90815-1935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-552-8009",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "270 W 14TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN PEDRO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90731-4396",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-519-8723",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/24/2026",
    "LastUpdateDate": "08/24/2026",
    "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": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "716748",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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