NPI Code Detail JSON Logo

1073047312 NPI number — CHELSEA SWOPES CCC-SLP

NPI Number: 1073047312
Health Care Provider/Practitioner: CHELSEA SWOPES CCC-SLP

Information about “1073047312” NPI (CHELSEA SWOPES CCC-SLP) exists in 1073047312 in HTML format HTML  |  1073047312 in plain Text format TXT  |  1073047312 in PDF (Portable Document Format) PDF  |  1073047312 in an XML format XML  formats.

NPI Number : 1073047312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073047312",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWOPES",
    "FirstName": "CHELSEA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17 ASH HOLLOW TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LADERA RANCH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92694-0201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-933-4786",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "29811 SANTA MARGARITA PKWY STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO SANTA MARGARITA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92688-3617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-600-5437",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2017",
    "LastUpdateDate": "11/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/28/2020",
    "NPIReactivationDate": "11/12/2024",
    "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": "SP18245",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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