1770214736 NPI number — CLAUDIA KARINA WHITE AU.D., CCC-A

NPI Number: 1770214736
Health Care Provider/Practitioner: CLAUDIA KARINA WHITE AU.D., CCC-A

NPI Number : 1770214736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770214736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITE",
    "FirstName": "CLAUDIA",
    "MiddleName": "KARINA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "AU.D., CCC-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YEBRA",
    "OtherFirstName": "CLAUDIA",
    "OtherMiddleName": "KARINA",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "AUD.CCC-A",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1321 N BIBB AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAGLE PASS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78852-3847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "830-776-3383",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1202 E SONTERRA BLVD STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78258-4090",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-871-9557",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2022",
    "LastUpdateDate": "04/21/2023",
    "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": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "81401",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "81401",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}