NPI Code Detail JSON Logo

1912407602 NPI number — KERRY RITA POST-LANGAN LPN

NPI Number: 1912407602
Health Care Provider/Practitioner: KERRY RITA POST-LANGAN LPN

Information about “1912407602” NPI (KERRY RITA POST-LANGAN LPN) exists in 1912407602 in HTML format HTML  |  1912407602 in plain Text format TXT  |  1912407602 in PDF (Portable Document Format) PDF  |  1912407602 in an XML format XML  formats.

NPI Number : 1912407602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912407602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POST-LANGAN",
    "FirstName": "KERRY",
    "MiddleName": "RITA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LANGAN",
    "OtherFirstName": "KERRY",
    "OtherMiddleName": "RITA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "65 FRANKLIN STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMITYVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11701-3601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-710-0147",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "65 FRANKLIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMITYVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11701-3601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-710-0147",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/19/2018",
    "LastUpdateDate": "04/26/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/15/2018",
    "NPIReactivationDate": "04/23/2018",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "219036-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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