NPI Code Detail JSON Logo

1609780709 NPI number — SWEET OLIVE PEDIATRIC SERVICES

NPI Number: 1609780709
Health Care Provider/Practitioner: SWEET OLIVE PEDIATRIC SERVICES

Information about “1609780709” NPI (SWEET OLIVE PEDIATRIC SERVICES) exists in 1609780709 in HTML format HTML  |  1609780709 in plain Text format TXT  |  1609780709 in PDF (Portable Document Format) PDF  |  1609780709 in an XML format XML  formats.

NPI Number : 1609780709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609780709",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SWEET OLIVE PEDIATRIC SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3009 42ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "METAIRIE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70001-2942",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-278-5388",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2955 RIDGELAKE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "METAIRIE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70002-4967",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "225-278-5388",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PIERCE",
    "AuthorizedOfficialFirstName": "CHELSEA",
    "AuthorizedOfficialMiddleName": "LAURETTE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MOT, LOTR, CHT",
    "AuthorizedOfficialTelephoneNumber": "225-278-5388",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2251P0200X",
          "TaxonomyName": "Pediatric Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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