NPI Code Detail JSON Logo

1457754012 NPI number — REBECCA WIENER

NPI Number: 1457754012
Health Care Provider/Practitioner: REBECCA WIENER

Information about “1457754012” NPI (REBECCA WIENER) exists in 1457754012 in HTML format HTML  |  1457754012 in plain Text format TXT  |  1457754012 in PDF (Portable Document Format) PDF  |  1457754012 in an XML format XML  formats.

NPI Number : 1457754012 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457754012",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WIENER",
    "FirstName": "REBECCA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6904 COLUMBIA FALLS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCKINNEY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-662-0761",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5850 TOWN & COUNTRY BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 502",
    "PracticeLocationAddressCityName": "FRISCO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-269-6585",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2014",
    "LastUpdateDate": "09/26/2014",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "LMT114433",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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