NPI Code Detail JSON Logo

1215070107 NPI number — JANUARY SPRINGS LLC

NPI Number: 1215070107
Health Care Provider/Practitioner: JANUARY SPRINGS LLC

Information about “1215070107” NPI (JANUARY SPRINGS LLC) exists in 1215070107 in HTML format HTML  |  1215070107 in plain Text format TXT  |  1215070107 in PDF (Portable Document Format) PDF  |  1215070107 in an XML format XML  formats.

NPI Number : 1215070107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215070107",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JANUARY SPRINGS 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": "9342 E CENTRAL AVE STE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67206-2555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-906-1421",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9342 E CENTRAL AVE STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67206-2555",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-906-1421",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CUNNINGHAM",
    "AuthorizedOfficialFirstName": "KELLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS, LCPC",
    "AuthorizedOfficialTelephoneNumber": "918-906-1421",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "700",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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