NPI Code Detail JSON Logo

1942702675 NPI number — SARAH JANE LORRAINE BAKURA M.S. PPC

NPI Number: 1942702675
Health Care Provider/Practitioner: SARAH JANE LORRAINE BAKURA M.S. PPC

Information about “1942702675” NPI (SARAH JANE LORRAINE BAKURA M.S. PPC) exists in 1942702675 in HTML format HTML  |  1942702675 in plain Text format TXT  |  1942702675 in PDF (Portable Document Format) PDF  |  1942702675 in an XML format XML  formats.

NPI Number : 1942702675 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942702675",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKURA",
    "FirstName": "SARAH",
    "MiddleName": "JANE LORRAINE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S. PPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PETERS",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "JANE LORRAINE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS PPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 222",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SINCLAIR",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82334-0222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-421-0619",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "402 N 9TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SINCLAIR",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82334-5027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-421-0619",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/08/2018",
    "LastUpdateDate": "08/17/2020",
    "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": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "PPC-1125",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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