NPI Code Detail JSON Logo

1467081794 NPI number — ANN MARIE MUSICK CN

NPI Number: 1467081794
Health Care Provider/Practitioner: ANN MARIE MUSICK CN

Information about “1467081794” NPI (ANN MARIE MUSICK CN) exists in 1467081794 in HTML format HTML  |  1467081794 in plain Text format TXT  |  1467081794 in PDF (Portable Document Format) PDF  |  1467081794 in an XML format XML  formats.

NPI Number : 1467081794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467081794",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUSICK",
    "FirstName": "ANN",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "187 PAVILION PKWY STE 215",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWPORT",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41071-2891",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-363-5945",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "187 PAVILION PKWY STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWPORT",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41071-2891",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-363-5945",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/07/2020",
    "LastUpdateDate": "04/07/2020",
    "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": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": "252465",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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