NPI Code Detail JSON Logo

1316407141 NPI number — JENNIFER CHERIE HAN-RIVAS SLP

NPI Number: 1316407141
Health Care Provider/Practitioner: JENNIFER CHERIE HAN-RIVAS SLP

Information about “1316407141” NPI (JENNIFER CHERIE HAN-RIVAS SLP) exists in 1316407141 in HTML format HTML  |  1316407141 in plain Text format TXT  |  1316407141 in PDF (Portable Document Format) PDF  |  1316407141 in an XML format XML  formats.

NPI Number : 1316407141 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316407141",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAN-RIVAS",
    "FirstName": "JENNIFER",
    "MiddleName": "CHERIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAN",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "CHERIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1317 W SAN GORGONIO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLYTHE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92225-1458",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-799-3187",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "208 W HOBSONWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLYTHE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92225-1619",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-799-3187",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/20/2019",
    "LastUpdateDate": "03/20/2019",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "28289",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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