NPI Code Detail JSON Logo

1659253086 NPI number — JUANITA M SMITH

NPI Number: 1659253086
Health Care Provider/Practitioner: JUANITA M SMITH

Information about “1659253086” NPI (JUANITA M SMITH) exists in 1659253086 in HTML format HTML  |  1659253086 in plain Text format TXT  |  1659253086 in PDF (Portable Document Format) PDF  |  1659253086 in an XML format XML  formats.

NPI Number : 1659253086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659253086",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "JUANITA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 195",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISVILLE",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26362-0195",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-643-4941",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "521 SOUTH COURT ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISVILLE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26362",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-643-4941",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2025",
    "LastUpdateDate": "07/25/2025",
    "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": "3747P1801X",
        "TaxonomyName": "Personal Care Attendant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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