NPI Code Detail JSON Logo

1376041947 NPI number — AMANDA CHARLEE ABNER CF-SLP

NPI Number: 1376041947
Health Care Provider/Practitioner: AMANDA CHARLEE ABNER CF-SLP

Information about “1376041947” NPI (AMANDA CHARLEE ABNER CF-SLP) exists in 1376041947 in HTML format HTML  |  1376041947 in plain Text format TXT  |  1376041947 in PDF (Portable Document Format) PDF  |  1376041947 in an XML format XML  formats.

NPI Number : 1376041947 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376041947",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABNER",
    "FirstName": "AMANDA",
    "MiddleName": "CHARLEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CF-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25345 SAINT ANNE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SORRENTO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32776-9669",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-747-2495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2705 REBECCA LN STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORANGE CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32763-8336",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-532-8255",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2018",
    "LastUpdateDate": "12/04/2019",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SZ8467",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "29518",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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