NPI Code Detail JSON Logo

1801075874 NPI number — JENNIFER BECKMAN RICHASON MD

NPI Number: 1801075874
Health Care Provider/Practitioner: JENNIFER BECKMAN RICHASON MD

Information about “1801075874” NPI (JENNIFER BECKMAN RICHASON MD) exists in 1801075874 in HTML format HTML  |  1801075874 in plain Text format TXT  |  1801075874 in PDF (Portable Document Format) PDF  |  1801075874 in an XML format XML  formats.

NPI Number : 1801075874 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801075874",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHASON",
    "FirstName": "JENNIFER",
    "MiddleName": "BECKMAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BECKMAN",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1123 CLAIRMONT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DECATUR",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30030-1228",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-512-0591",
    "MailingAddressFaxNumber": "678-737-1641",
    "FirstLinePracticeLocationAddress": "1123 CLAIRMONT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30030-1228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-512-0591",
    "PracticeLocationAddressFaxNumber": "678-737-1641",
    "EnumerationDate": "10/26/2007",
    "LastUpdateDate": "02/12/2026",
    "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": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "E-14671",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "66453",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "29413",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "2021040846",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "MD.43186",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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