NPI Code Detail JSON Logo

1962317560 NPI number — NANCY LEMUS-CALLADO

NPI Number: 1962317560
Health Care Provider/Practitioner: NANCY LEMUS-CALLADO

Information about “1962317560” NPI (NANCY LEMUS-CALLADO) exists in 1962317560 in HTML format HTML  |  1962317560 in plain Text format TXT  |  1962317560 in PDF (Portable Document Format) PDF  |  1962317560 in an XML format XML  formats.

NPI Number : 1962317560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962317560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEMUS-CALLADO",
    "FirstName": "NANCY",
    "MiddleName": null,
    "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": "10957 W PIERCE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVONDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85323-0017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-854-7951",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2375 E CAMELBACK RD STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85016-3493",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-455-0013",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/18/2026",
    "LastUpdateDate": "08/18/2026",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "289140",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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