NPI Code Detail JSON Logo

1659670578 NPI number — KELLY BARBARA PLESS L.E.

NPI Number: 1659670578
Health Care Provider/Practitioner: KELLY BARBARA PLESS L.E.

Information about “1659670578” NPI (KELLY BARBARA PLESS L.E.) exists in 1659670578 in HTML format HTML  |  1659670578 in plain Text format TXT  |  1659670578 in PDF (Portable Document Format) PDF  |  1659670578 in an XML format XML  formats.

NPI Number : 1659670578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659670578",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PLESS",
    "FirstName": "KELLY",
    "MiddleName": "BARBARA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.E.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHITWORTH",
    "OtherFirstName": "KELLY",
    "OtherMiddleName": "BARBARA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.E.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3851 PIPER ST",
    "SecondLineMailingAddress": "SUITE U464",
    "MailingAddressCityName": "ANCHORAGE",
    "MailingAddressStateName": "AK",
    "MailingAddressPostalCode": "99508-4684",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-770-6700",
    "MailingAddressFaxNumber": "907-770-6707",
    "FirstLinePracticeLocationAddress": "5201 E NORTHERN LIGHTS BLVD",
    "SecondLinePracticeLocationAddress": "UNIT 8N",
    "PracticeLocationAddressCityName": "ANCHORAGE",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99508-4776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-317-9328",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2011",
    "LastUpdateDate": "03/17/2011",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "HADC15040",
        "LicenseNumberStateCode": "AK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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