NPI Code Detail JSON Logo

1427389345 NPI number — RENE' LASHELLE GORDON DPT

NPI Number: 1427389345
Health Care Provider/Practitioner: RENE' LASHELLE GORDON DPT

Information about “1427389345” NPI (RENE' LASHELLE GORDON DPT) exists in 1427389345 in HTML format HTML  |  1427389345 in plain Text format TXT  |  1427389345 in PDF (Portable Document Format) PDF  |  1427389345 in an XML format XML  formats.

NPI Number : 1427389345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427389345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GORDON",
    "FirstName": "RENE'",
    "MiddleName": "LASHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "63 VILSONIA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VILONIA",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72173-9818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-293-4057",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 S MAIN ST STE 500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEARCY",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72143-7805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-268-2525",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/15/2010",
    "LastUpdateDate": "10/20/2015",
    "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": "2251P0200X",
        "TaxonomyName": "Pediatric Physical Therapist",
        "LicenseNumber": "3202",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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