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1760913362 NPI number — HEATHER A. REARDON LLC

NPI Number: 1760913362
Health Care Provider/Practitioner: HEATHER A. REARDON LLC

Information about “1760913362” NPI (HEATHER A. REARDON LLC) exists in 1760913362 in HTML format HTML  |  1760913362 in plain Text format TXT  |  1760913362 in PDF (Portable Document Format) PDF  |  1760913362 in an XML format XML  formats.

NPI Number : 1760913362 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760913362",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEATHER A. REARDON LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 BANK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAUKAUNA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54130-2581",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-470-8359",
    "MailingAddressFaxNumber": "920-843-9381",
    "FirstLinePracticeLocationAddress": "1 BANK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KAUKAUNA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54130-2581",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-470-8359",
    "PracticeLocationAddressFaxNumber": "920-843-9381",
    "EnumerationDate": "03/24/2017",
    "LastUpdateDate": "03/24/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REARDON-NABBEFELD",
    "AuthorizedOfficialFirstName": "HEATHER",
    "AuthorizedOfficialMiddleName": "ANNE",
    "AuthorizedOfficialTitle": "COUNSELOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "920-470-8359",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "6018-125",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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