NPI Code Detail JSON Logo

1245567544 NPI number — DONNA THIELE SLP-A

NPI Number: 1245567544
Health Care Provider/Practitioner: DONNA THIELE SLP-A

Information about “1245567544” NPI (DONNA THIELE SLP-A) exists in 1245567544 in HTML format HTML  |  1245567544 in plain Text format TXT  |  1245567544 in PDF (Portable Document Format) PDF  |  1245567544 in an XML format XML  formats.

NPI Number : 1245567544 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245567544",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THIELE",
    "FirstName": "DONNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP-A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14 EMERY STRREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LISBON",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-353-9009",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "74 ROCK RIDGE RUN",
    "SecondLinePracticeLocationAddress": "KIMBERLY A. EGBERTS & ASSOC",
    "PracticeLocationAddressCityName": "CUMBERLAND CENTER",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-829-4763",
    "PracticeLocationAddressFaxNumber": "207-829-4763",
    "EnumerationDate": "11/06/2009",
    "LastUpdateDate": "11/06/2009",
    "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": "2355S0801X",
        "TaxonomyName": "Speech-Language Assistant",
        "LicenseNumber": "SAS1719",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.