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1780195016 NPI number — DEBORAH ANN SHEPHERD RN

NPI Number: 1780195016
Health Care Provider/Practitioner: DEBORAH ANN SHEPHERD RN

Information about “1780195016” NPI (DEBORAH ANN SHEPHERD RN) exists in 1780195016 in HTML format HTML  |  1780195016 in plain Text format TXT  |  1780195016 in PDF (Portable Document Format) PDF  |  1780195016 in an XML format XML  formats.

NPI Number : 1780195016 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780195016",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHEPHERD",
    "FirstName": "DEBORAH",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEBER",
    "OtherFirstName": "DEBORAH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "817 GREEN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SECANE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19018-3602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-931-7053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "817 GREEN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SECANE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19018-3602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-931-7053",
    "PracticeLocationAddressFaxNumber": "610-931-7053",
    "EnumerationDate": "10/13/2017",
    "LastUpdateDate": "10/13/2017",
    "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": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "RN304440L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN304440L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "RN304440L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253J00000X",
          "TaxonomyName": "Foster Care Agency",
          "LicenseNumber": "RN304440L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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