NPI Code Detail JSON Logo

1528647120 NPI number — MEGAN KATHERINE DRIZIN LLPC

NPI Number: 1528647120
Health Care Provider/Practitioner: MEGAN KATHERINE DRIZIN LLPC

Information about “1528647120” NPI (MEGAN KATHERINE DRIZIN LLPC) exists in 1528647120 in HTML format HTML  |  1528647120 in plain Text format TXT  |  1528647120 in PDF (Portable Document Format) PDF  |  1528647120 in an XML format XML  formats.

NPI Number : 1528647120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528647120",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DRIZIN",
    "FirstName": "MEGAN",
    "MiddleName": "KATHERINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LLPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7817 HIGH KNOLL DR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BYRON CENTER",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49315-7918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-730-2052",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "781 KENMOOR AVE SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49546-8628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-730-2052",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2021",
    "LastUpdateDate": "04/02/2021",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "6401019228",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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