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1851114037 NPI number — SARA BETH MARTIN CDS MANAGER

NPI Number: 1851114037
Health Care Provider/Practitioner: SARA BETH MARTIN CDS MANAGER

Information about “1851114037” NPI (SARA BETH MARTIN CDS MANAGER) exists in 1851114037 in HTML format HTML  |  1851114037 in plain Text format TXT  |  1851114037 in PDF (Portable Document Format) PDF  |  1851114037 in an XML format XML  formats.

NPI Number : 1851114037 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851114037",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "SARA",
    "MiddleName": "BETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CDS MANAGER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "400 S LUCAS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOWRY CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64763-9114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-644-0032",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 S LUCAS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOWRY CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64763-9114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-644-0032",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2024",
    "LastUpdateDate": "11/05/2024",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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