NPI Code Detail JSON Logo

1821803818 NPI number — SARA ELIZABETH BOZEMAN MA

NPI Number: 1821803818
Health Care Provider/Practitioner: SARA ELIZABETH BOZEMAN MA

Information about “1821803818” NPI (SARA ELIZABETH BOZEMAN MA) exists in 1821803818 in HTML format HTML  |  1821803818 in plain Text format TXT  |  1821803818 in PDF (Portable Document Format) PDF  |  1821803818 in an XML format XML  formats.

NPI Number : 1821803818 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821803818",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOZEMAN",
    "FirstName": "SARA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BOZEMAN",
    "OtherFirstName": "SARABETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "4510 WARRIOR JASPER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DORA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35062-2051",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-807-9356",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 OFFICE PARK DR STE 230",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTAIN BRK",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35223-3410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-825-1423",
    "PracticeLocationAddressFaxNumber": "205-533-9960",
    "EnumerationDate": "02/08/2025",
    "LastUpdateDate": "02/08/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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