NPI Code Detail JSON Logo

1417077785 NPI number — REBECCA L PIND APN

NPI Number: 1417077785
Health Care Provider/Practitioner: REBECCA L PIND APN

Information about “1417077785” NPI (REBECCA L PIND APN) exists in 1417077785 in HTML format HTML  |  1417077785 in plain Text format TXT  |  1417077785 in PDF (Portable Document Format) PDF  |  1417077785 in an XML format XML  formats.

NPI Number : 1417077785 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417077785",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIND",
    "FirstName": "REBECCA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "422 COOK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JONESBORO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62952-1100",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-833-5161",
    "MailingAddressFaxNumber": "618-833-5982",
    "FirstLinePracticeLocationAddress": "517 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANNA",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62906-1668",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-833-2295",
    "PracticeLocationAddressFaxNumber": "618-833-9058",
    "EnumerationDate": "03/30/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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