NPI Code Detail JSON Logo

1962927137 NPI number — LAUREN VINZANT PA-C

NPI Number: 1962927137
Health Care Provider/Practitioner: LAUREN VINZANT PA-C

Information about “1962927137” NPI (LAUREN VINZANT PA-C) exists in 1962927137 in HTML format HTML  |  1962927137 in plain Text format TXT  |  1962927137 in PDF (Portable Document Format) PDF  |  1962927137 in an XML format XML  formats.

NPI Number : 1962927137 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962927137",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VINZANT",
    "FirstName": "LAUREN",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27320 ALGER BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48071-3224",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-602-2029",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14671 TELEGRAPH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REDFORD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48239-3300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-602-2029",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2017",
    "LastUpdateDate": "01/24/2020",
    "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": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "PA61003199",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "5601008302",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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