NPI Code Detail JSON Logo

1821068669 NPI number — CHRISTINE J PERKOWSKA PA

NPI Number: 1821068669
Health Care Provider/Practitioner: CHRISTINE J PERKOWSKA PA

Information about “1821068669” NPI (CHRISTINE J PERKOWSKA PA) exists in 1821068669 in HTML format HTML  |  1821068669 in plain Text format TXT  |  1821068669 in PDF (Portable Document Format) PDF  |  1821068669 in an XML format XML  formats.

NPI Number : 1821068669 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821068669",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERKOWSKA",
    "FirstName": "CHRISTINE",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1331 MAESTAS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAOS",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87571-6268",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "575-776-7806",
    "MailingAddressFaxNumber": "575-224-3348",
    "FirstLinePracticeLocationAddress": "TAOS WHOLE HEALTH INTEGRATIVE CARE",
    "SecondLinePracticeLocationAddress": "1331 MAESTAS RD",
    "PracticeLocationAddressCityName": "TAOS",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87571-6268",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-776-7806",
    "PracticeLocationAddressFaxNumber": "575-224-3348",
    "EnumerationDate": "01/24/2006",
    "LastUpdateDate": "07/25/2023",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "90PA17",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "90-PA17",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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