NPI Code Detail JSON Logo

1174836084 NPI number — HEATHER DANAE MAI-ROECKER ARNP

NPI Number: 1174836084
Health Care Provider/Practitioner: HEATHER DANAE MAI-ROECKER ARNP

Information about “1174836084” NPI (HEATHER DANAE MAI-ROECKER ARNP) exists in 1174836084 in HTML format HTML  |  1174836084 in plain Text format TXT  |  1174836084 in PDF (Portable Document Format) PDF  |  1174836084 in an XML format XML  formats.

NPI Number : 1174836084 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174836084",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAI-ROECKER",
    "FirstName": "HEATHER",
    "MiddleName": "DANAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAI",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": "DANAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7703 45TH PL W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUKILTEO",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98275-2711",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "319-415-6573",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12800 BOTHELL EVERETT HWY STE 120",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EVERETT",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98208-6642",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-316-5155",
    "PracticeLocationAddressFaxNumber": "425-316-5156",
    "EnumerationDate": "07/20/2010",
    "LastUpdateDate": "11/15/2022",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "007340",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "A135294",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP61165816",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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