NPI Code Detail JSON Logo

1669781266 NPI number — CLAUDETTE SHERAY KANVALLY MEDICAL ASSISTANT

NPI Number: 1669781266
Health Care Provider/Practitioner: CLAUDETTE SHERAY KANVALLY MEDICAL ASSISTANT

Information about “1669781266” NPI (CLAUDETTE SHERAY KANVALLY MEDICAL ASSISTANT) exists in 1669781266 in HTML format HTML  |  1669781266 in plain Text format TXT  |  1669781266 in PDF (Portable Document Format) PDF  |  1669781266 in an XML format XML  formats.

NPI Number : 1669781266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669781266",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KANVALLY",
    "FirstName": "CLAUDETTE",
    "MiddleName": "SHERAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MEDICAL ASSISTANT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "53 EASTPOINTE RIDGE DR APT 116",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43213-1592",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-833-0077",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "53 EASTPOINTE RIDGE DR APT 116",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43213-1592",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-583-3007",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2010",
    "LastUpdateDate": "11/15/2022",
    "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": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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