1275870172 NPI number — JENNIFER MICHELLE FOSTER MA, CD, IBCLC, RLC

NPI Number: 1275870172
Health Care Provider/Practitioner: JENNIFER MICHELLE FOSTER MA, CD, IBCLC, RLC

NPI Number : 1275870172 – JSON Data Format

                
{
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    "NPI": "1275870172",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
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    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOSTER",
    "FirstName": "JENNIFER",
    "MiddleName": "MICHELLE",
    "NamePrefix": "PROF.",
    "NameSuffix": null,
    "Credential": "MA, CD, IBCLC, RLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FOSTER",
    "OtherFirstName": "JENN",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": "PROF.",
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    "OtherCredential": "CD, IBCLC, RLC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "213 RUSSELL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CANTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30115-2918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-533-9119",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "213 RUSSELL CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANTON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30115-2918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-533-9119",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/11/2013",
    "LastUpdateDate": "11/02/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
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    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
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