NPI Code Detail JSON Logo

1376758805 NPI number — ELAINE RONQUILLO OTR

NPI Number: 1376758805
Health Care Provider/Practitioner: ELAINE RONQUILLO OTR

Information about “1376758805” NPI (ELAINE RONQUILLO OTR) exists in 1376758805 in HTML format HTML  |  1376758805 in plain Text format TXT  |  1376758805 in PDF (Portable Document Format) PDF  |  1376758805 in an XML format XML  formats.

NPI Number : 1376758805 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376758805",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RONQUILLO",
    "FirstName": "ELAINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4259 WOODLAND PARK AVE N",
    "SecondLineMailingAddress": "APT #5",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98103-7449",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-625-4331",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4259 WOODLAND PARK AVE N",
    "SecondLinePracticeLocationAddress": "APT #5",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98103-7449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-625-4331",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/10/2007",
    "LastUpdateDate": "05/03/2013",
    "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": "0119003427",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT00004118",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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