NPI Code Detail JSON Logo

1962548362 NPI number — BRENDA DARLENE RUSSELL-HOSPENTHAL LMP

NPI Number: 1962548362
Health Care Provider/Practitioner: BRENDA DARLENE RUSSELL-HOSPENTHAL LMP

Information about “1962548362” NPI (BRENDA DARLENE RUSSELL-HOSPENTHAL LMP) exists in 1962548362 in HTML format HTML  |  1962548362 in plain Text format TXT  |  1962548362 in PDF (Portable Document Format) PDF  |  1962548362 in an XML format XML  formats.

NPI Number : 1962548362 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962548362",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUSSELL-HOSPENTHAL",
    "FirstName": "BRENDA",
    "MiddleName": "DARLENE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11216 SUNRISE BLVD E",
    "SecondLineMailingAddress": "SUITE 3-203",
    "MailingAddressCityName": "PUYALLUP",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98374-8848",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-864-6519",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11216 SUNRISE BLVD E",
    "SecondLinePracticeLocationAddress": "SUITE 3-203",
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98374-8848",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-864-6519",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2007",
    "LastUpdateDate": "04/11/2011",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "MA00009642",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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