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1083801153 NPI number — NICOLE BINDL NP

NPI Number: 1083801153
Health Care Provider/Practitioner: NICOLE BINDL NP

Information about “1083801153” NPI (NICOLE BINDL NP) exists in 1083801153 in HTML format HTML  |  1083801153 in plain Text format TXT  |  1083801153 in PDF (Portable Document Format) PDF  |  1083801153 in an XML format XML  formats.

NPI Number : 1083801153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083801153",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BINDL",
    "FirstName": "NICOLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "35318 EAGLE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60678-1353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-528-4800",
    "MailingAddressFaxNumber": "317-865-8133",
    "FirstLinePracticeLocationAddress": "3800 W 203RD ST STE 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA FIELDS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60461-1185",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-852-2641",
    "PracticeLocationAddressFaxNumber": "708-503-3260",
    "EnumerationDate": "10/02/2007",
    "LastUpdateDate": "08/23/2023",
    "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": "71008905A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "041320143",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "156646-30",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "5991-33",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "041320143",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209012225",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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