1841681129 NPI number — SARA ALISON FURLETTE-KOSKI M.A. A.T.C.

NPI Number: 1841681129
Health Care Provider/Practitioner: SARA ALISON FURLETTE-KOSKI M.A. A.T.C.

NPI Number : 1841681129 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841681129",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FURLETTE-KOSKI",
    "FirstName": "SARA",
    "MiddleName": "ALISON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A. A.T.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOSKI",
    "OtherFirstName": "SARA",
    "OtherMiddleName": "ALISON",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.A. A.T.C.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "851 MOUNT PLEASANT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANN ARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48103-4776",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-352-1814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "851 MOUNT PLEASANT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANN ARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48103-4776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-352-1814",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/09/2015",
    "LastUpdateDate": "06/24/2025",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "096.003597",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6801118081",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}