1952798563 NPI number — SARA ELIZABETH BALL B.S, B.A

NPI Number: 1952798563
Health Care Provider/Practitioner: SARA ELIZABETH BALL B.S, B.A

NPI Number : 1952798563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952798563",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BALL",
    "FirstName": "SARA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "B.S, B.A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6061 BAGLEY AVE",
    "SecondLineMailingAddress": "UNIT #6",
    "MailingAddressCityName": "TWENTYNINE PALMS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92277-4903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-276-5722",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "58945 BUSINESS CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUCCA VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92284-7307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-369-4057",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2015",
    "LastUpdateDate": "04/21/2015",
    "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": "225400000X",
        "TaxonomyName": "Rehabilitation Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}