1265883938 NPI number — LEIGH ANN SWANK FNP-C, PMHNP-BC

NPI Number: 1265883938
Health Care Provider/Practitioner: LEIGH ANN SWANK FNP-C, PMHNP-BC

NPI Number : 1265883938 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265883938",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWANK",
    "FirstName": "LEIGH",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C, PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOWE",
    "OtherFirstName": "LEIGH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "205 E PALMER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLEFONTAINE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43311-2281",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-592-4015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1880 E US HIGHWAY 36",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "URBANA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43078-9600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-887-0164",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2016",
    "LastUpdateDate": "11/22/2024",
    "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": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.019424",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.019424",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}