NPI Code Detail JSON Logo

1619302247 NPI number — TARA JILL BINDL CRNA

NPI Number: 1619302247
Health Care Provider/Practitioner: TARA JILL BINDL CRNA

Information about “1619302247” NPI (TARA JILL BINDL CRNA) exists in 1619302247 in HTML format HTML  |  1619302247 in plain Text format TXT  |  1619302247 in PDF (Portable Document Format) PDF  |  1619302247 in an XML format XML  formats.

NPI Number : 1619302247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619302247",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BINDL",
    "FirstName": "TARA",
    "MiddleName": "JILL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOSSHOLDER",
    "OtherFirstName": "TARA",
    "OtherMiddleName": "JILL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "260 26TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRAIRIE DU SAC",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53578-2203",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-643-7171",
    "MailingAddressFaxNumber": "608-643-7147",
    "FirstLinePracticeLocationAddress": "1836 SOUTH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA CROSSE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54601-5429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-782-7300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/13/2013",
    "LastUpdateDate": "07/02/2018",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "152814",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.