1669016762 NPI number — JEANNE THUNE LMT, BCTMB, CHTP/I

NPI Number: 1669016762
Health Care Provider/Practitioner: JEANNE THUNE LMT, BCTMB, CHTP/I

NPI Number : 1669016762 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669016762",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THUNE",
    "FirstName": "JEANNE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMT, BCTMB, CHTP/I",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "48153 334TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEFFERSON",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57038-6837",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "712-635-4301",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "370 W ANCHOR DR STE 217",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAKOTA DUNES",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57049-5153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "712-635-4301",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/31/2019",
    "LastUpdateDate": "10/31/2019",
    "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": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "3221",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "072397",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "MT10205",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}