NPI Code Detail JSON Logo

1861449969 NPI number — JENNIFER CILIA CRNA

NPI Number: 1861449969
Health Care Provider/Practitioner: JENNIFER CILIA CRNA

Information about “1861449969” NPI (JENNIFER CILIA CRNA) exists in 1861449969 in HTML format HTML  |  1861449969 in plain Text format TXT  |  1861449969 in PDF (Portable Document Format) PDF  |  1861449969 in an XML format XML  formats.

NPI Number : 1861449969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861449969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CILIA",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3998 FAIR RIDGE DR",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22033-2921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-295-9360",
    "MailingAddressFaxNumber": "703-766-9725",
    "FirstLinePracticeLocationAddress": "601 PARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONESDALE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18431-1498",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-253-8112",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/27/2006",
    "LastUpdateDate": "03/26/2024",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "RN518149L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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