NPI Code Detail JSON Logo

1669896429 NPI number — KRISTIN ULRICH SLP

NPI Number: 1669896429
Health Care Provider/Practitioner: KRISTIN ULRICH SLP

Information about “1669896429” NPI (KRISTIN ULRICH SLP) exists in 1669896429 in HTML format HTML  |  1669896429 in plain Text format TXT  |  1669896429 in PDF (Portable Document Format) PDF  |  1669896429 in an XML format XML  formats.

NPI Number : 1669896429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669896429",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ULRICH",
    "FirstName": "KRISTIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GILLAND",
    "OtherFirstName": "KRISTIN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "SLP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "29805 ELECTRIC DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAY VILLAGE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44140-1223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-864-6431",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23 ERIC NORD WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OBERLIN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44074-1582",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-207-0576",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2014",
    "LastUpdateDate": "10/07/2024",
    "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": "SP-6329",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SP6329",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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