1033577598 NPI number — RUTH WESTER SNYDER M.S.CCC-SLP

NPI Number: 1033577598
Health Care Provider/Practitioner: RUTH WESTER SNYDER M.S.CCC-SLP

NPI Number : 1033577598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033577598",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SNYDER",
    "FirstName": "RUTH",
    "MiddleName": "WESTER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3500 CARDINAL POINT DRIVE",
    "SecondLineMailingAddress": "SUITE 2",
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32257-3599",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-737-3556",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3500 CARDINAL POINT DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE 2",
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32257-3599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-737-3766",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2016",
    "LastUpdateDate": "01/29/2016",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SA447",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}