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1578196630 NPI number — MICHAELA LAUREN WINTERSCHEIDT COTA/L

NPI Number: 1578196630
Health Care Provider/Practitioner: MICHAELA LAUREN WINTERSCHEIDT COTA/L

Information about “1578196630” NPI (MICHAELA LAUREN WINTERSCHEIDT COTA/L) exists in 1578196630 in HTML format HTML  |  1578196630 in plain Text format TXT  |  1578196630 in PDF (Portable Document Format) PDF  |  1578196630 in an XML format XML  formats.

NPI Number : 1578196630 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578196630",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WINTERSCHEIDT",
    "FirstName": "MICHAELA",
    "MiddleName": "LAUREN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LITTLE",
    "OtherFirstName": "MICHAELA",
    "OtherMiddleName": "LAUREN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "COTA/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "819 OREGON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIAWATHA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66434",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "785-742-2201",
    "MailingAddressFaxNumber": "785-933-2085",
    "FirstLinePracticeLocationAddress": "819 OREGON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIAWATHA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66434",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "785-742-2201",
    "PracticeLocationAddressFaxNumber": "785-742-2202",
    "EnumerationDate": "02/18/2020",
    "LastUpdateDate": "07/14/2022",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "18-01672",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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