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1972022150 NPI number — ALICIA ORLANDI GATTERDAM APRN

NPI Number: 1972022150
Health Care Provider/Practitioner: ALICIA ORLANDI GATTERDAM APRN

Information about “1972022150” NPI (ALICIA ORLANDI GATTERDAM APRN) exists in 1972022150 in HTML format HTML  |  1972022150 in plain Text format TXT  |  1972022150 in PDF (Portable Document Format) PDF  |  1972022150 in an XML format XML  formats.

NPI Number : 1972022150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972022150",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GATTERDAM",
    "FirstName": "ALICIA",
    "MiddleName": "ORLANDI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ORLANDI",
    "OtherFirstName": "ALICIA",
    "OtherMiddleName": "CLAIRE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "800 ROSE ST",
    "SecondLineMailingAddress": "ROOM M53",
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40536-0298",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-323-5908",
    "MailingAddressFaxNumber": "859-323-8056",
    "FirstLinePracticeLocationAddress": "1000 S LIMESTONE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40536-7001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-323-5908",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2017",
    "LastUpdateDate": "07/21/2022",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "3011726",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "3011726",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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