NPI Code Detail JSON Logo

1902462625 NPI number — CAILI NICOLE PIERRO DO

NPI Number: 1902462625
Health Care Provider/Practitioner: CAILI NICOLE PIERRO DO

Information about “1902462625” NPI (CAILI NICOLE PIERRO DO) exists in 1902462625 in HTML format HTML  |  1902462625 in plain Text format TXT  |  1902462625 in PDF (Portable Document Format) PDF  |  1902462625 in an XML format XML  formats.

NPI Number : 1902462625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902462625",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIERRO",
    "FirstName": "CAILI",
    "MiddleName": "NICOLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1415 11TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALTOONA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16601-3303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-201-2684",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5400 S RAINBOW BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89118-1859",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-853-3561",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2019",
    "LastUpdateDate": "11/05/2024",
    "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": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "21634",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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