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1932914249 NPI number — ALEXIS MERCEDES SUTPHIN

NPI Number: 1932914249
Health Care Provider/Practitioner: ALEXIS MERCEDES SUTPHIN

Information about “1932914249” NPI (ALEXIS MERCEDES SUTPHIN) exists in 1932914249 in HTML format HTML  |  1932914249 in plain Text format TXT  |  1932914249 in PDF (Portable Document Format) PDF  |  1932914249 in an XML format XML  formats.

NPI Number : 1932914249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932914249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUTPHIN",
    "FirstName": "ALEXIS",
    "MiddleName": "MERCEDES",
    "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": "200 RIVERWALK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COHOES",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12047-3337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-683-5609",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18 S LAKE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12203-1106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-436-7972",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2025",
    "LastUpdateDate": "03/24/2025",
    "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": "163WP0807X",
        "TaxonomyName": "Child & Adolescent Psychiatric/Mental Health Registered Nurse",
        "LicenseNumber": "929169",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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