1356727945 NPI number — MOIRIA ELAINE SEIBER P.L.P.C.

NPI Number: 1356727945
Health Care Provider/Practitioner: MOIRIA ELAINE SEIBER P.L.P.C.

NPI Number : 1356727945 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356727945",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEIBER",
    "FirstName": "MOIRIA",
    "MiddleName": "ELAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5686 COUNTY ROAD 1820",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST PLAINS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65775-5496",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-293-2668",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2695 STATE ROUTE U",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILLOW SPRINGS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65793-3426",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-293-2668",
    "PracticeLocationAddressFaxNumber": "417-469-0456",
    "EnumerationDate": "08/05/2015",
    "LastUpdateDate": "08/05/2015",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "2015026837",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}