NPI Code Detail JSON Logo

1346857042 NPI number — COURTNEY LAUREN WEIGAND HIS

NPI Number: 1346857042
Health Care Provider/Practitioner: COURTNEY LAUREN WEIGAND HIS

Information about “1346857042” NPI (COURTNEY LAUREN WEIGAND HIS) exists in 1346857042 in HTML format HTML  |  1346857042 in plain Text format TXT  |  1346857042 in PDF (Portable Document Format) PDF  |  1346857042 in an XML format XML  formats.

NPI Number : 1346857042 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346857042",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEIGAND",
    "FirstName": "COURTNEY",
    "MiddleName": "LAUREN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "HIS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHOPSHIRE",
    "OtherFirstName": "COURTNEY",
    "OtherMiddleName": "LAUREN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "HIS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3928B W SCOTT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JB MDL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08641-1683",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "774-487-8161",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "269 WINTER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HYANNIS",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02601-2962",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "774-487-8161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2020",
    "LastUpdateDate": "09/26/2020",
    "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": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "479",
        "LicenseNumberStateCode": "MA",
        "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.