NPI Code Detail JSON Logo

1356597736 NPI number — JACQUELINE WOLFE SUMLER MS, OTR/L

NPI Number: 1356597736
Health Care Provider/Practitioner: JACQUELINE WOLFE SUMLER MS, OTR/L

Information about “1356597736” NPI (JACQUELINE WOLFE SUMLER MS, OTR/L) exists in 1356597736 in HTML format HTML  |  1356597736 in plain Text format TXT  |  1356597736 in PDF (Portable Document Format) PDF  |  1356597736 in an XML format XML  formats.

NPI Number : 1356597736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356597736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUMLER",
    "FirstName": "JACQUELINE",
    "MiddleName": "WOLFE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8895 HIGHWAY 319 W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72007-9301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-912-1826",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "207 FRED RAINS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHERWOOD",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72120-5457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "591-834-0217",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/17/2008",
    "LastUpdateDate": "04/07/2021",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OTR226",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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