NPI Code Detail JSON Logo

1750845798 NPI number — SYDNEY EAGERTON CASEY CRNP

NPI Number: 1750845798
Health Care Provider/Practitioner: SYDNEY EAGERTON CASEY CRNP

Information about “1750845798” NPI (SYDNEY EAGERTON CASEY CRNP) exists in 1750845798 in HTML format HTML  |  1750845798 in plain Text format TXT  |  1750845798 in PDF (Portable Document Format) PDF  |  1750845798 in an XML format XML  formats.

NPI Number : 1750845798 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750845798",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASEY",
    "FirstName": "SYDNEY",
    "MiddleName": "EAGERTON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EAGERTON",
    "OtherFirstName": "SYDNEY",
    "OtherMiddleName": "CAROLINE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 241587",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTGOMERY",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36124-1587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-280-1511",
    "MailingAddressFaxNumber": "334-280-1611",
    "FirstLinePracticeLocationAddress": "273 WINTON M BLOUNT LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTGOMERY",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36117-3507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-280-1500",
    "PracticeLocationAddressFaxNumber": "334-280-1600",
    "EnumerationDate": "01/23/2019",
    "LastUpdateDate": "03/15/2022",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "1-145339",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "1-145339",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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