NPI Code Detail JSON Logo

1578783213 NPI number — VIRGINIA K TRUMBULL RD

NPI Number: 1578783213
Health Care Provider/Practitioner: VIRGINIA K TRUMBULL RD

Information about “1578783213” NPI (VIRGINIA K TRUMBULL RD) exists in 1578783213 in HTML format HTML  |  1578783213 in plain Text format TXT  |  1578783213 in PDF (Portable Document Format) PDF  |  1578783213 in an XML format XML  formats.

NPI Number : 1578783213 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578783213",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRUMBULL",
    "FirstName": "VIRGINIA",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRUMBULL",
    "OtherFirstName": "GINGER",
    "OtherMiddleName": "K",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "911 E 20TH ST",
    "SecondLineMailingAddress": "PHYSICIANS OFFICE BUILDING, SUITE 600",
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57105-1042",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-322-8995",
    "MailingAddressFaxNumber": "605-322-8994",
    "FirstLinePracticeLocationAddress": "911 E 20TH ST",
    "SecondLinePracticeLocationAddress": "PHYSICIANS OFFICE BUILDING, SUITE 600",
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57105-1042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-322-8995",
    "PracticeLocationAddressFaxNumber": "605-322-8994",
    "EnumerationDate": "04/26/2007",
    "LastUpdateDate": "09/11/2025",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "SD 0161",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133VN1006X",
          "TaxonomyName": "Metabolic Nutrition Registered Dietitian",
          "LicenseNumber": "SD 0161",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.