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1295862332 NPI number — DIANE RAULERSONS HOME MEDICAL EQUIPMENT

NPI Number: 1295862332
Health Care Provider/Practitioner: DIANE RAULERSONS HOME MEDICAL EQUIPMENT

Information about “1295862332” NPI (DIANE RAULERSONS HOME MEDICAL EQUIPMENT) exists in 1295862332 in HTML format HTML  |  1295862332 in plain Text format TXT  |  1295862332 in PDF (Portable Document Format) PDF  |  1295862332 in an XML format XML  formats.

NPI Number : 1295862332 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295862332",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIANE RAULERSONS HOME MEDICAL EQUIPMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2019 ALICE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAYCROSS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31501-6209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-283-4663",
    "MailingAddressFaxNumber": "912-338-0208",
    "FirstLinePracticeLocationAddress": "2019 ALICE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAYCROSS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31501-6209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-283-4663",
    "PracticeLocationAddressFaxNumber": "912-338-0208",
    "EnumerationDate": "02/27/2007",
    "LastUpdateDate": "03/22/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAULERSON",
    "AuthorizedOfficialFirstName": "DIANE",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "912-283-4663",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": "002687",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "002687",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "332800000X",
          "TaxonomyName": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
          "LicenseNumber": "002687",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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