NPI Code Detail JSON Logo

1427879030 NPI number — SARAH MCNICHOLAS RN, BSN, IBCLC

NPI Number: 1427879030
Health Care Provider/Practitioner: SARAH MCNICHOLAS RN, BSN, IBCLC

Information about “1427879030” NPI (SARAH MCNICHOLAS RN, BSN, IBCLC) exists in 1427879030 in HTML format HTML  |  1427879030 in plain Text format TXT  |  1427879030 in PDF (Portable Document Format) PDF  |  1427879030 in an XML format XML  formats.

NPI Number : 1427879030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427879030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCNICHOLAS",
    "FirstName": "SARAH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, BSN, IBCLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WETZEL",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, BSN, IBCLC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "5780 BILLET ST APT 207",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW MARKET",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21774-7051",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-415-8757",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "99 ASHLEY CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MYERSVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21773-8417",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-205-8080",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/17/2024",
    "LastUpdateDate": "10/17/2024",
    "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": "163WL0100X",
          "TaxonomyName": "Lactation Consultant (Registered Nurse)",
          "LicenseNumber": "L-24176",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WL0100X",
          "TaxonomyName": "Lactation Consultant (Registered Nurse)",
          "LicenseNumber": "R183634",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.