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1821033465 NPI number — KIMBERLEE ANN LONERGAN ARNP

NPI Number: 1821033465
Health Care Provider/Practitioner: KIMBERLEE ANN LONERGAN ARNP

Information about “1821033465” NPI (KIMBERLEE ANN LONERGAN ARNP) exists in 1821033465 in HTML format HTML  |  1821033465 in plain Text format TXT  |  1821033465 in PDF (Portable Document Format) PDF  |  1821033465 in an XML format XML  formats.

NPI Number : 1821033465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821033465",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LONERGAN",
    "FirstName": "KIMBERLEE",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BECKMAN",
    "OtherFirstName": "KIMBERLEE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ARNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "13531 JUANITA WOODINVILLE WAY NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KIRKLAND",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98034-5225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-636-2400",
    "MailingAddressFaxNumber": "425-636-2401",
    "FirstLinePracticeLocationAddress": "13531 JUANITA WOODINVILLE WAY NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KIRKLAND",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98034-5225",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-636-2400",
    "PracticeLocationAddressFaxNumber": "425-636-2401",
    "EnumerationDate": "06/18/2006",
    "LastUpdateDate": "05/09/2018",
    "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": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "AP30002217",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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