NPI Code Detail JSON Logo

1255982674 NPI number — LINDSEY BETH SCHREIBER PA

NPI Number: 1255982674
Health Care Provider/Practitioner: LINDSEY BETH SCHREIBER PA

Information about “1255982674” NPI (LINDSEY BETH SCHREIBER PA) exists in 1255982674 in HTML format HTML  |  1255982674 in plain Text format TXT  |  1255982674 in PDF (Portable Document Format) PDF  |  1255982674 in an XML format XML  formats.

NPI Number : 1255982674 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255982674",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHREIBER",
    "FirstName": "LINDSEY",
    "MiddleName": "BETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIXON",
    "OtherFirstName": "LINDSEY",
    "OtherMiddleName": "BETH",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1000 MEDICAL CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTICELLO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61856-2116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-762-6241",
    "MailingAddressFaxNumber": "217-762-1702",
    "FirstLinePracticeLocationAddress": "1000 MEDICAL CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTICELLO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61856-2116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-762-6241",
    "PracticeLocationAddressFaxNumber": "217-762-1702",
    "EnumerationDate": "09/26/2019",
    "LastUpdateDate": "01/22/2026",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "10797",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "085.011485",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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