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1891982286 NPI number — JAMES EDWARD SUITER FNP-BC / GNP-BC

NPI Number: 1891982286
Health Care Provider/Practitioner: JAMES EDWARD SUITER FNP-BC / GNP-BC

Information about “1891982286” NPI (JAMES EDWARD SUITER FNP-BC / GNP-BC) exists in 1891982286 in HTML format HTML  |  1891982286 in plain Text format TXT  |  1891982286 in PDF (Portable Document Format) PDF  |  1891982286 in an XML format XML  formats.

NPI Number : 1891982286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891982286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUITER",
    "FirstName": "JAMES",
    "MiddleName": "EDWARD",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "FNP-BC / GNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4560 SE INTERNATIONAL WAY STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKIE",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97222-4628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-914-6421",
    "MailingAddressFaxNumber": "503-905-0897",
    "FirstLinePracticeLocationAddress": "4560 SE INTERNATIONAL WAY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKIE",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97222-4628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-914-6421",
    "PracticeLocationAddressFaxNumber": "503-905-0897",
    "EnumerationDate": "09/28/2007",
    "LastUpdateDate": "09/07/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "200750074NP",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "200750074NP FNP-PP",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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