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1649670423 NPI number — TAMARA B SHEARROW N.P.

NPI Number: 1649670423
Health Care Provider/Practitioner: TAMARA B SHEARROW N.P.

Information about “1649670423” NPI (TAMARA B SHEARROW N.P.) exists in 1649670423 in HTML format HTML  |  1649670423 in plain Text format TXT  |  1649670423 in PDF (Portable Document Format) PDF  |  1649670423 in an XML format XML  formats.

NPI Number : 1649670423 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649670423",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHEARROW",
    "FirstName": "TAMARA",
    "MiddleName": "B",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BREIDING",
    "OtherFirstName": "TAMMY",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "333 W CORK ST UNIT 405",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINCHESTER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22601-3876",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-313-9200",
    "MailingAddressFaxNumber": "540-686-7287",
    "FirstLinePracticeLocationAddress": "333 W CORK ST UNIT 405",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINCHESTER",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22601-3876",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-313-9200",
    "PracticeLocationAddressFaxNumber": "540-686-7287",
    "EnumerationDate": "08/28/2014",
    "LastUpdateDate": "12/15/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "0024172000",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "0024172000",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "0024172000",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "0024172000",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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