NPI Code Detail JSON Logo

1124740550 NPI number — THIS LITTLE LIGHT SLP, LLC

NPI Number: 1124740550
Health Care Provider/Practitioner: THIS LITTLE LIGHT SLP, LLC

Information about “1124740550” NPI (THIS LITTLE LIGHT SLP, LLC) exists in 1124740550 in HTML format HTML  |  1124740550 in plain Text format TXT  |  1124740550 in PDF (Portable Document Format) PDF  |  1124740550 in an XML format XML  formats.

NPI Number : 1124740550 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124740550",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THIS LITTLE LIGHT SLP, LLC",
    "LastName": null,
    "FirstName": null,
    "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": "13607 E SPRAGUE AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE VALLEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99216-0809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-991-3064",
    "MailingAddressFaxNumber": "877-775-2543",
    "FirstLinePracticeLocationAddress": "13607 E SPRAGUE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99216-0809",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-991-3064",
    "PracticeLocationAddressFaxNumber": "877-775-2543",
    "EnumerationDate": "09/13/2022",
    "LastUpdateDate": "09/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NIELSEN",
    "AuthorizedOfficialFirstName": "SARA",
    "AuthorizedOfficialMiddleName": "DEEANNE",
    "AuthorizedOfficialTitle": "SLP/OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, CCC/SLP",
    "AuthorizedOfficialTelephoneNumber": "509-991-3064",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0700X",
        "TaxonomyName": "Hearing and Speech Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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