NPI Code Detail JSON Logo

1316626724 NPI number — VERONDA LOREEN BACCHUS

NPI Number: 1316626724
Health Care Provider/Practitioner: VERONDA LOREEN BACCHUS

Information about “1316626724” NPI (VERONDA LOREEN BACCHUS) exists in 1316626724 in HTML format HTML  |  1316626724 in plain Text format TXT  |  1316626724 in PDF (Portable Document Format) PDF  |  1316626724 in an XML format XML  formats.

NPI Number : 1316626724 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316626724",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BACCHUS",
    "FirstName": "VERONDA",
    "MiddleName": "LOREEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "123 E 156TH ST APT 1536",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44110-1106",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-246-9077",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "123 E 156TH ST APT 1536",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44110-1106",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-246-9077",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2023",
    "LastUpdateDate": "08/09/2023",
    "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": "372500000X",
        "TaxonomyName": "Chore Provider",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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