1760047971 NPI number — LEANNA VICTORIA RITCHIE M.D., M.B.A.

NPI Number: 1760047971
Health Care Provider/Practitioner: LEANNA VICTORIA RITCHIE M.D., M.B.A.

NPI Number : 1760047971 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760047971",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RITCHIE",
    "FirstName": "LEANNA",
    "MiddleName": "VICTORIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., M.B.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "427 N WILLOW AVE STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOKEVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38501-2354",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-559-5959",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "427 N WILLOW AVE STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOKEVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38501-2354",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-559-5959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/02/2019",
    "LastUpdateDate": "12/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "12/16/2019",
    "NPIReactivationDate": "12/27/2019",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "72515",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RN0300X",
          "TaxonomyName": "Nephrology Physician",
          "LicenseNumber": "ME155011",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}