1255943908 NPI number — ALISON MARION VARHOL MS, RD, LD/N

NPI Number: 1255943908
Health Care Provider/Practitioner: ALISON MARION VARHOL MS, RD, LD/N

NPI Number : 1255943908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255943908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VARHOL",
    "FirstName": "ALISON",
    "MiddleName": "MARION",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, RD, LD/N",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KUCHARSKI",
    "OtherFirstName": "ALISON",
    "OtherMiddleName": "MARION",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, RD, LD/N",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "95072 WINDFLOWER TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FERNANDINA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32034-3798",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-892-1747",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "95072 WINDFLOWER TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FERNANDINA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32034-3798",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-892-1747",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2020",
    "LastUpdateDate": "07/22/2026",
    "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": "ND9820",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "LD006008",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "LRD3825",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}