NPI Code Detail JSON Logo

1104767615 NPI number — CHEYANNE RIVER WASSON SEAWATER

NPI Number: 1104767615
Health Care Provider/Practitioner: CHEYANNE RIVER WASSON SEAWATER

Information about “1104767615” NPI (CHEYANNE RIVER WASSON SEAWATER) exists in 1104767615 in HTML format HTML  |  1104767615 in plain Text format TXT  |  1104767615 in PDF (Portable Document Format) PDF  |  1104767615 in an XML format XML  formats.

NPI Number : 1104767615 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104767615",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEAWATER",
    "FirstName": "CHEYANNE",
    "MiddleName": "RIVER WASSON",
    "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": "14471 ESSEX CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAGALIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95954-9210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-815-1479",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "592 RIO LINDO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95926-1817",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-815-1479",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2026",
    "LastUpdateDate": "04/01/2026",
    "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": "372600000X",
        "TaxonomyName": "Adult Companion",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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