NPI Code Detail JSON Logo

1346039419 NPI number — NIKKI WHOLE HEALTH LLC

NPI Number: 1346039419
Health Care Provider/Practitioner: NIKKI WHOLE HEALTH LLC

Information about “1346039419” NPI (NIKKI WHOLE HEALTH LLC) exists in 1346039419 in HTML format HTML  |  1346039419 in plain Text format TXT  |  1346039419 in PDF (Portable Document Format) PDF  |  1346039419 in an XML format XML  formats.

NPI Number : 1346039419 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346039419",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NIKKI WHOLE HEALTH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "21214 MALIBU COLONY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78259-2009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-960-2653",
    "MailingAddressFaxNumber": "210-492-0747",
    "FirstLinePracticeLocationAddress": "21214 MALIBU COLONY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78259-2009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-960-2653",
    "PracticeLocationAddressFaxNumber": "210-492-0747",
    "EnumerationDate": "05/05/2025",
    "LastUpdateDate": "05/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WALDEN",
    "AuthorizedOfficialFirstName": "NICOLE",
    "AuthorizedOfficialMiddleName": "BONDURIS",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNS, LDN, LMT",
    "AuthorizedOfficialTelephoneNumber": "940-368-2328",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.