NPI Code Detail JSON Logo

1629385000 NPI number — GLORIA ANN FITZPATRICK MS-SLP, MS ED

NPI Number: 1629385000
Health Care Provider/Practitioner: GLORIA ANN FITZPATRICK MS-SLP, MS ED

Information about “1629385000” NPI (GLORIA ANN FITZPATRICK MS-SLP, MS ED) exists in 1629385000 in HTML format HTML  |  1629385000 in plain Text format TXT  |  1629385000 in PDF (Portable Document Format) PDF  |  1629385000 in an XML format XML  formats.

NPI Number : 1629385000 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629385000",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FITZPATRICK",
    "FirstName": "GLORIA",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS-SLP, MS ED",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "52 KINGS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SLATE HILL",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10973-4225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-355-7937",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2277 GOSHEN TPKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10941-4032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-692-4391",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/08/2010",
    "LastUpdateDate": "11/19/2012",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "020323",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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