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1104281294 NPI number — MOLLY ANN ROMERO MS. RDN, LDN, CSOWM

NPI Number: 1104281294
Health Care Provider/Practitioner: MOLLY ANN ROMERO MS. RDN, LDN, CSOWM

Information about “1104281294” NPI (MOLLY ANN ROMERO MS. RDN, LDN, CSOWM) exists in 1104281294 in HTML format HTML  |  1104281294 in plain Text format TXT  |  1104281294 in PDF (Portable Document Format) PDF  |  1104281294 in an XML format XML  formats.

NPI Number : 1104281294 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104281294",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROMERO",
    "FirstName": "MOLLY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS. RDN, LDN, CSOWM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BOWDON",
    "OtherFirstName": "MOLLY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LDN,  RDN, CDCES",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9300 WHITE OAK CROSSING",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAUMELLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72113-6377",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-777-8120",
    "MailingAddressFaxNumber": "501-229-6070",
    "FirstLinePracticeLocationAddress": "9300 WHITE OAK CROSSING",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72113-6377",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-777-8120",
    "PracticeLocationAddressFaxNumber": "501-229-6070",
    "EnumerationDate": "12/16/2015",
    "LastUpdateDate": "10/11/2024",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "1087167",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "7930",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1201X",
          "TaxonomyName": "Obesity and Weight Management Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "1917",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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