NPI Code Detail JSON Logo

1548173495 NPI number — RENEE A. SLUSSER M.S., ACSM-EP, LMBT

NPI Number: 1548173495
Health Care Provider/Practitioner: RENEE A. SLUSSER M.S., ACSM-EP, LMBT

Information about “1548173495” NPI (RENEE A. SLUSSER M.S., ACSM-EP, LMBT) exists in 1548173495 in HTML format HTML  |  1548173495 in plain Text format TXT  |  1548173495 in PDF (Portable Document Format) PDF  |  1548173495 in an XML format XML  formats.

NPI Number : 1548173495 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548173495",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SLUSSER",
    "FirstName": "RENEE",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., ACSM-EP, LMBT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PORADA",
    "OtherFirstName": "RENEE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., ACSM-EP, MT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "54 MAIN ST",
    "SecondLineMailingAddress": "BOX 85",
    "MailingAddressCityName": "ANITA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15711-9759",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-952-7678",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19466 119 HWY N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUNXSUTAWNEY",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15767",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-618-6447",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2026",
    "LastUpdateDate": "09/23/2026",
    "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": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "224Y00000X",
          "TaxonomyName": "Clinical Exercise Physiologist",
          "LicenseNumber": "ACSM-EP",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "MSG015816",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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