NPI Code Detail JSON Logo

1376582064 NPI number — ANDREA P. PESCE-GUTTVEG LIC. ACUPUNCTURIST

NPI Number: 1376582064
Health Care Provider/Practitioner: ANDREA P. PESCE-GUTTVEG LIC. ACUPUNCTURIST

Information about “1376582064” NPI (ANDREA P. PESCE-GUTTVEG LIC. ACUPUNCTURIST) exists in 1376582064 in HTML format HTML  |  1376582064 in plain Text format TXT  |  1376582064 in PDF (Portable Document Format) PDF  |  1376582064 in an XML format XML  formats.

NPI Number : 1376582064 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376582064",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PESCE-GUTTVEG",
    "FirstName": "ANDREA",
    "MiddleName": "P.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LIC. ACUPUNCTURIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUTTVEG",
    "OtherFirstName": "ANDREA",
    "OtherMiddleName": "PESCE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2402 ECUADORIAN WAY",
    "SecondLineMailingAddress": "APT 8",
    "MailingAddressCityName": "CLEARWATER",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33763",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-458-6207",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1230B LADY MARION LANE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "DUNEDIN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34698",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-736-9191",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2006",
    "LastUpdateDate": "02/10/2017",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AP1268",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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