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1992987259 NPI number — KRISTINE ANN REBIERO PA-C

NPI Number: 1992987259
Health Care Provider/Practitioner: KRISTINE ANN REBIERO PA-C

Information about “1992987259” NPI (KRISTINE ANN REBIERO PA-C) exists in 1992987259 in HTML format HTML  |  1992987259 in plain Text format TXT  |  1992987259 in PDF (Portable Document Format) PDF  |  1992987259 in an XML format XML  formats.

NPI Number : 1992987259 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992987259",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REBIERO",
    "FirstName": "KRISTINE",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "830 SCENIC DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MODESTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95350-6131",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-558-8400",
    "MailingAddressFaxNumber": "209-558-8344",
    "FirstLinePracticeLocationAddress": "1030 SCENIC DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MODESTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95350-6133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-558-7698",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2007",
    "LastUpdateDate": "07/31/2025",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "17922",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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