NPI Code Detail JSON Logo

1619189032 NPI number — AMANDA SUE MEANS AU.D.

NPI Number: 1619189032
Health Care Provider/Practitioner: AMANDA SUE MEANS AU.D.

Information about “1619189032” NPI (AMANDA SUE MEANS AU.D.) exists in 1619189032 in HTML format HTML  |  1619189032 in plain Text format TXT  |  1619189032 in PDF (Portable Document Format) PDF  |  1619189032 in an XML format XML  formats.

NPI Number : 1619189032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619189032",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEANS",
    "FirstName": "AMANDA",
    "MiddleName": "SUE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JONES",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": "SUE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7 11TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELKINS",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26241-3511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "276-964-7439",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELKINS",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26241-3511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-630-6002",
    "PracticeLocationAddressFaxNumber": "304-630-6003",
    "EnumerationDate": "05/06/2007",
    "LastUpdateDate": "04/02/2020",
    "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": "237600000X",
        "TaxonomyName": "Audiologist-Hearing Aid Fitter",
        "LicenseNumber": "0222",
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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