NPI Code Detail JSON Logo

1154001790 NPI number — HEATHER NICOLE LITTLE NP

NPI Number: 1154001790
Health Care Provider/Practitioner: HEATHER NICOLE LITTLE NP

Information about “1154001790” NPI (HEATHER NICOLE LITTLE NP) exists in 1154001790 in HTML format HTML  |  1154001790 in plain Text format TXT  |  1154001790 in PDF (Portable Document Format) PDF  |  1154001790 in an XML format XML  formats.

NPI Number : 1154001790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154001790",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LITTLE",
    "FirstName": "HEATHER",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTINEZ",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": "N",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "611 W. PARK ST",
    "SecondLineMailingAddress": "FAPC",
    "MailingAddressCityName": "URBANA",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5165 MCCARTY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAFAYETTE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47905-8764",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-448-8000",
    "PracticeLocationAddressFaxNumber": "765-838-4758",
    "EnumerationDate": "07/19/2023",
    "LastUpdateDate": "12/18/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209028070",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LN0000X",
          "TaxonomyName": "Neonatal Nurse Practitioner",
          "LicenseNumber": "71014123A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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