1881516615 NPI number — GEORGIA SUE CABRAL CD-L, P-ICD, NCS

NPI Number: 1881516615
Health Care Provider/Practitioner: GEORGIA SUE CABRAL CD-L, P-ICD, NCS

NPI Number : 1881516615 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881516615",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CABRAL",
    "FirstName": "GEORGIA",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CD-L, P-ICD, NCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "180 ELM CT APT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNNYVALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94086-2190",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-838-4324",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "180 ELM CT APT 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUNNYVALE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94086-2190",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-838-4324",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2026",
    "LastUpdateDate": "07/25/2026",
    "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": "374J00000X",
          "TaxonomyName": "Doula",
          "LicenseNumber": "PICD33023",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374J00000X",
          "TaxonomyName": "Doula",
          "LicenseNumber": "LD271626",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}