NPI Code Detail JSON Logo

1801466685 NPI number — HELENA EZZELDIN MS, CNS, LDN

NPI Number: 1801466685
Health Care Provider/Practitioner: HELENA EZZELDIN MS, CNS, LDN

Information about “1801466685” NPI (HELENA EZZELDIN MS, CNS, LDN) exists in 1801466685 in HTML format HTML  |  1801466685 in plain Text format TXT  |  1801466685 in PDF (Portable Document Format) PDF  |  1801466685 in an XML format XML  formats.

NPI Number : 1801466685 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801466685",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EZZELDIN",
    "FirstName": "HELENA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, CNS, LDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11707 SUMMERCHASE CIR APT E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RESTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20194-1129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "571-291-0693",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2 CARDINAL PARK DR. SE,",
    "SecondLinePracticeLocationAddress": "STE. 104A",
    "PracticeLocationAddressCityName": "LEESBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20175",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-291-0693",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/25/2021",
    "LastUpdateDate": "06/28/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "01/21/2022",
    "NPIReactivationDate": "02/16/2022",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133NN1002X",
          "TaxonomyName": "Nutrition Education Nutritionist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133N00000X",
          "TaxonomyName": "Nutritionist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.