NPI Code Detail JSON Logo

1053243345 NPI number — VANESSA CUPP RN

NPI Number: 1053243345
Health Care Provider/Practitioner: VANESSA CUPP RN

Information about “1053243345” NPI (VANESSA CUPP RN) exists in 1053243345 in HTML format HTML  |  1053243345 in plain Text format TXT  |  1053243345 in PDF (Portable Document Format) PDF  |  1053243345 in an XML format XML  formats.

NPI Number : 1053243345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053243345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUPP",
    "FirstName": "VANESSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "529 TOWER PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOX RIVER GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60021-1879",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "875 S IL ROUTE 31",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRYSTAL LAKE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60014-8168",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-356-7494",
    "PracticeLocationAddressFaxNumber": "779-220-5500",
    "EnumerationDate": "06/01/2026",
    "LastUpdateDate": "06/01/2026",
    "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": "163WG0000X",
        "TaxonomyName": "General Practice Registered Nurse",
        "LicenseNumber": "041369647",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.