NPI Code Detail JSON Logo

1366921413 NPI number — AILEEN NEWPORT NP

NPI Number: 1366921413
Health Care Provider/Practitioner: AILEEN NEWPORT NP

Information about “1366921413” NPI (AILEEN NEWPORT NP) exists in 1366921413 in HTML format HTML  |  1366921413 in plain Text format TXT  |  1366921413 in PDF (Portable Document Format) PDF  |  1366921413 in an XML format XML  formats.

NPI Number : 1366921413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366921413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEWPORT",
    "FirstName": "AILEEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NYONGANI",
    "OtherFirstName": "AILEEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2467 W WEST BRANCH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPERVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60565-5428",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-219-6948",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5145 N CALIFORNIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60625-3661",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-878-8200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/09/2018",
    "LastUpdateDate": "05/25/2023",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "209016124",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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