NPI Code Detail JSON Logo

1679615439 NPI number — CARMEN R. GUILLERMO M.A. (MASTER OF ARTS

NPI Number: 1679615439
Health Care Provider/Practitioner: CARMEN R. GUILLERMO M.A. (MASTER OF ARTS

Information about “1679615439” NPI (CARMEN R. GUILLERMO M.A. (MASTER OF ARTS) exists in 1679615439 in HTML format HTML  |  1679615439 in plain Text format TXT  |  1679615439 in PDF (Portable Document Format) PDF  |  1679615439 in an XML format XML  formats.

NPI Number : 1679615439 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679615439",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUILLERMO",
    "FirstName": "CARMEN",
    "MiddleName": "R.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A. (MASTER OF ARTS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEWLIN",
    "OtherFirstName": "CARMEN",
    "OtherMiddleName": "RODRIGUEZ",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A. (MASTER OF ARTS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1204 COTTONWOOD ST",
    "SecondLineMailingAddress": "SUITE 6",
    "MailingAddressCityName": "WOODLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95695-4362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-668-1663",
    "MailingAddressFaxNumber": "530-668-8150",
    "FirstLinePracticeLocationAddress": "1204 COTTONWOOD ST",
    "SecondLinePracticeLocationAddress": "SUITE 6",
    "PracticeLocationAddressCityName": "WOODLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95695-4362",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-668-1663",
    "PracticeLocationAddressFaxNumber": "530-668-8150",
    "EnumerationDate": "02/12/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "237600000X",
        "TaxonomyName": "Audiologist-Hearing Aid Fitter",
        "LicenseNumber": "AU310 AND HA3045",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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