NPI Code Detail JSON Logo

1114336153 NPI number — MEGGAN LEIGH REISCH CNP

NPI Number: 1114336153
Health Care Provider/Practitioner: MEGGAN LEIGH REISCH CNP

Information about “1114336153” NPI (MEGGAN LEIGH REISCH CNP) exists in 1114336153 in HTML format HTML  |  1114336153 in plain Text format TXT  |  1114336153 in PDF (Portable Document Format) PDF  |  1114336153 in an XML format XML  formats.

NPI Number : 1114336153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114336153",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REISCH",
    "FirstName": "MEGGAN",
    "MiddleName": "LEIGH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "MEGGAN",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "728 S WASHINGTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57042-3509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-556-1004",
    "MailingAddressFaxNumber": "217-771-1606",
    "FirstLinePracticeLocationAddress": "103 S MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOWARD",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57349-9064",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-212-1627",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/04/2014",
    "LastUpdateDate": "11/14/2024",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "R037821",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "CP000920",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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