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1699852897 NPI number — JENNIFER NASSIMOS CTRS

NPI Number: 1699852897
Health Care Provider/Practitioner: JENNIFER NASSIMOS CTRS

Information about “1699852897” NPI (JENNIFER NASSIMOS CTRS) exists in 1699852897 in HTML format HTML  |  1699852897 in plain Text format TXT  |  1699852897 in PDF (Portable Document Format) PDF  |  1699852897 in an XML format XML  formats.

NPI Number : 1699852897 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699852897",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NASSIMOS",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CTRS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOLLY",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CTRS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13 BRANCH LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01450-1342",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-371-1517",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 SPRINGS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEDFORD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01730-1114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-687-2452",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "03/28/2025",
    "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": "225800000X",
        "TaxonomyName": "Recreation Therapist",
        "LicenseNumber": "46425",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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