1326415803 NPI number — BIANCA ANGELICA WHORL M.S. CCC-SLP

NPI Number: 1326415803
Health Care Provider/Practitioner: BIANCA ANGELICA WHORL M.S. CCC-SLP

NPI Number : 1326415803 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326415803",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHORL",
    "FirstName": "BIANCA",
    "MiddleName": "ANGELICA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S. CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LORETI",
    "OtherFirstName": "BIANCA",
    "OtherMiddleName": "ANGELICA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1001 N VERMONT ST APT 506",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22201-4766",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-699-5289",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1001 N VERMONT ST APT 506",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22201-4766",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-699-5289",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2015",
    "LastUpdateDate": "12/22/2022",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}