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1083165278 NPI number — ROBBIN SWANN RN

NPI Number: 1083165278
Health Care Provider/Practitioner: ROBBIN SWANN RN

Information about “1083165278” NPI (ROBBIN SWANN RN) exists in 1083165278 in HTML format HTML  |  1083165278 in plain Text format TXT  |  1083165278 in PDF (Portable Document Format) PDF  |  1083165278 in an XML format XML  formats.

NPI Number : 1083165278 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083165278",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWANN",
    "FirstName": "ROBBIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HENDERSON",
    "OtherFirstName": "ROBBIN",
    "OtherMiddleName": "ELLEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, IBCLC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2627 S BROADWAY AVE # 8173",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TYLER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75701-5405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-316-1927",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2050 SHILOH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TYLER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75703-2612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-316-1927",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/22/2016",
    "LastUpdateDate": "08/26/2025",
    "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": "163WL0100X",
        "TaxonomyName": "Lactation Consultant (Registered Nurse)",
        "LicenseNumber": "7-1733",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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