NPI Code Detail JSON Logo

1902760242 NPI number — CHRISTINA ABIGAIL FORESTER

NPI Number: 1902760242
Health Care Provider/Practitioner: CHRISTINA ABIGAIL FORESTER

Information about “1902760242” NPI (CHRISTINA ABIGAIL FORESTER) exists in 1902760242 in HTML format HTML  |  1902760242 in plain Text format TXT  |  1902760242 in PDF (Portable Document Format) PDF  |  1902760242 in an XML format XML  formats.

NPI Number : 1902760242 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902760242",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FORESTER",
    "FirstName": "CHRISTINA",
    "MiddleName": "ABIGAIL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "691 CHAUNCEY ST APT 4B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11207-2044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-641-2769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "145 E 125TH ST FL 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10035-1714",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-249-0763",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/11/2025",
    "LastUpdateDate": "12/11/2025",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "12759501",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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