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1356272819 NPI number — DAWN LEA CUNNINGHAM ROETHER RN, LP

NPI Number: 1356272819
Health Care Provider/Practitioner: DAWN LEA CUNNINGHAM ROETHER RN, LP

Information about “1356272819” NPI (DAWN LEA CUNNINGHAM ROETHER RN, LP) exists in 1356272819 in HTML format HTML  |  1356272819 in plain Text format TXT  |  1356272819 in PDF (Portable Document Format) PDF  |  1356272819 in an XML format XML  formats.

NPI Number : 1356272819 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356272819",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROETHER",
    "FirstName": "DAWN",
    "MiddleName": "LEA CUNNINGHAM",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, LP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CUNNINGHAM",
    "OtherFirstName": "DAWN",
    "OtherMiddleName": "LEA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, LP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1640 COIT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75075-6163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-473-7581",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1640 COIT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75075-6163",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-473-7581",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/26/2026",
    "LastUpdateDate": "05/26/2026",
    "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": "146L00000X",
          "TaxonomyName": "Paramedic",
          "LicenseNumber": "14706",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "705360",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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