NPI Code Detail JSON Logo

1710536131 NPI number — GABRIELLE REGO VIEIRA

NPI Number: 1710536131
Health Care Provider/Practitioner: GABRIELLE REGO VIEIRA

Information about “1710536131” NPI (GABRIELLE REGO VIEIRA) exists in 1710536131 in HTML format HTML  |  1710536131 in plain Text format TXT  |  1710536131 in PDF (Portable Document Format) PDF  |  1710536131 in an XML format XML  formats.

NPI Number : 1710536131 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710536131",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VIEIRA",
    "FirstName": "GABRIELLE",
    "MiddleName": "REGO",
    "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": "37 CLARK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERVILLE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02143-3919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-955-6242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "315 TURNPIKE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH ANDOVER",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01845-5806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-837-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2019",
    "LastUpdateDate": "11/18/2021",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "3648",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.