NPI Code Detail JSON Logo

1417725805 NPI number — HEATHER COLLEEN FRISBY CPNP

NPI Number: 1417725805
Health Care Provider/Practitioner: HEATHER COLLEEN FRISBY CPNP

Information about “1417725805” NPI (HEATHER COLLEEN FRISBY CPNP) exists in 1417725805 in HTML format HTML  |  1417725805 in plain Text format TXT  |  1417725805 in PDF (Portable Document Format) PDF  |  1417725805 in an XML format XML  formats.

NPI Number : 1417725805 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417725805",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRISBY",
    "FirstName": "HEATHER",
    "MiddleName": "COLLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MONTE",
    "OtherFirstName": "HEATHER",
    "OtherMiddleName": "COLLEEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3173 CHANNEL BASS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MACHIPONGO",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23405-2217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-710-3161",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20280 MARKET ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONANCOCK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23417-1331",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-414-0400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/14/2023",
    "LastUpdateDate": "12/14/2023",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "0024188988",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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