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1902239577 NPI number — KERRI LOUISE BRYANT COTA/L

NPI Number: 1902239577
Health Care Provider/Practitioner: KERRI LOUISE BRYANT COTA/L

Information about “1902239577” NPI (KERRI LOUISE BRYANT COTA/L) exists in 1902239577 in HTML format HTML  |  1902239577 in plain Text format TXT  |  1902239577 in PDF (Portable Document Format) PDF  |  1902239577 in an XML format XML  formats.

NPI Number : 1902239577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902239577",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRYANT",
    "FirstName": "KERRI",
    "MiddleName": "LOUISE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUNT",
    "OtherFirstName": "KERRI",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "COTA/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "17 OUTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK RIDGE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37830-4057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-803-2180",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "120 CAVETTE HILL LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37934-6673",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-777-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/18/2013",
    "LastUpdateDate": "08/18/2013",
    "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": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "2274",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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