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1871955609 NPI number — JAMIE MARIE ANDERSON OTR/L

NPI Number: 1871955609
Health Care Provider/Practitioner: JAMIE MARIE ANDERSON OTR/L

Information about “1871955609” NPI (JAMIE MARIE ANDERSON OTR/L) exists in 1871955609 in HTML format HTML  |  1871955609 in plain Text format TXT  |  1871955609 in PDF (Portable Document Format) PDF  |  1871955609 in an XML format XML  formats.

NPI Number : 1871955609 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871955609",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "JAMIE",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARNTO",
    "OtherFirstName": "JAMIE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3700 FOSS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55421-4512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-913-5317",
    "MailingAddressFaxNumber": "612-788-0104",
    "FirstLinePracticeLocationAddress": "3700 FOSS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNEAPOLIS",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55421-4512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-913-5317",
    "PracticeLocationAddressFaxNumber": "612-788-0104",
    "EnumerationDate": "03/22/2016",
    "LastUpdateDate": "11/18/2024",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "104606",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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