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1982037313 NPI number — SAKEENA ALIA FUTRELL-CARTER APRN, CNM, CNP

NPI Number: 1982037313
Health Care Provider/Practitioner: SAKEENA ALIA FUTRELL-CARTER APRN, CNM, CNP

Information about “1982037313” NPI (SAKEENA ALIA FUTRELL-CARTER APRN, CNM, CNP) exists in 1982037313 in HTML format HTML  |  1982037313 in plain Text format TXT  |  1982037313 in PDF (Portable Document Format) PDF  |  1982037313 in an XML format XML  formats.

NPI Number : 1982037313 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982037313",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FUTRELL-CARTER",
    "FirstName": "SAKEENA",
    "MiddleName": "ALIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "APRN, CNM, CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FUTRELL",
    "OtherFirstName": "SAKEENA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8170 33RD AVE S",
    "SecondLineMailingAddress": "P.O. BOX 1309 MAIL STOP 21110Q",
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55440-1309",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-993-3282",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6500 EXCELSIOR BLVD",
    "SecondLinePracticeLocationAddress": "HVC 5TH FLOOR",
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55426-4702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-993-3282",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2013",
    "LastUpdateDate": "10/04/2019",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "R 161360-3",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "413",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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