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1255654729 NPI number — KATHERINE MARCELLE OTTO SPITZER RD, LD

NPI Number: 1255654729
Health Care Provider/Practitioner: KATHERINE MARCELLE OTTO SPITZER RD, LD

Information about “1255654729” NPI (KATHERINE MARCELLE OTTO SPITZER RD, LD) exists in 1255654729 in HTML format HTML  |  1255654729 in plain Text format TXT  |  1255654729 in PDF (Portable Document Format) PDF  |  1255654729 in an XML format XML  formats.

NPI Number : 1255654729 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255654729",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPITZER",
    "FirstName": "KATHERINE",
    "MiddleName": "MARCELLE OTTO",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RD, LD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OTTO",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": "MARCELLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RD, LDN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8240 NORTHCREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45236-2377",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-246-2610",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8240 NORTHCREEK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45236-2377",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-853-7555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/11/2010",
    "LastUpdateDate": "04/30/2018",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "2952",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "08353",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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