NPI Code Detail JSON Logo

1932380045 NPI number — DEANNA LYNN LOPEZ M.S., OTR/L

NPI Number: 1932380045
Health Care Provider/Practitioner: DEANNA LYNN LOPEZ M.S., OTR/L

Information about “1932380045” NPI (DEANNA LYNN LOPEZ M.S., OTR/L) exists in 1932380045 in HTML format HTML  |  1932380045 in plain Text format TXT  |  1932380045 in PDF (Portable Document Format) PDF  |  1932380045 in an XML format XML  formats.

NPI Number : 1932380045 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932380045",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPEZ",
    "FirstName": "DEANNA",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S., OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11875 PIGEON PASS RD",
    "SecondLineMailingAddress": "SUITE B13 #324",
    "MailingAddressCityName": "MORENO VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92557-6044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4080 LEMON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92501-3609",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-955-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/16/2007",
    "LastUpdateDate": "01/02/2021",
    "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": "225500000X",
          "TaxonomyName": "Respiratory/Developmental/Rehabilitative Specialist/Technologist",
          "LicenseNumber": "1150",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "451",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.