NPI Code Detail JSON Logo

1083536544 NPI number — ANIDA THOUNSAVATH

NPI Number: 1083536544
Health Care Provider/Practitioner: ANIDA THOUNSAVATH

Information about “1083536544” NPI (ANIDA THOUNSAVATH) exists in 1083536544 in HTML format HTML  |  1083536544 in plain Text format TXT  |  1083536544 in PDF (Portable Document Format) PDF  |  1083536544 in an XML format XML  formats.

NPI Number : 1083536544 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083536544",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOUNSAVATH",
    "FirstName": "ANIDA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8231 MENARD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORTON GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60053-3334",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "123 S NORTHWEST HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARK RIDGE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60068-4243",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "224-585-7000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/27/2026",
    "LastUpdateDate": "07/27/2026",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "209035515",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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