NPI Code Detail JSON Logo

1699967299 NPI number — REBECCA KATHLEEN WILSON MSW

NPI Number: 1699967299
Health Care Provider/Practitioner: REBECCA KATHLEEN WILSON MSW

Information about “1699967299” NPI (REBECCA KATHLEEN WILSON MSW) exists in 1699967299 in HTML format HTML  |  1699967299 in plain Text format TXT  |  1699967299 in PDF (Portable Document Format) PDF  |  1699967299 in an XML format XML  formats.

NPI Number : 1699967299 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699967299",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "REBECCA",
    "MiddleName": "KATHLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 17688",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GOLDEN",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80402-6028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-940-8531",
    "MailingAddressFaxNumber": "720-542-9245",
    "FirstLinePracticeLocationAddress": "6000 E EVANS AVE",
    "SecondLinePracticeLocationAddress": "BUILDING 3 SUITE 100",
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80222-5406",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-514-3425",
    "PracticeLocationAddressFaxNumber": "303-557-6240",
    "EnumerationDate": "08/16/2007",
    "LastUpdateDate": "07/19/2012",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "1376",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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