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1871108357 NPI number — CHARETTE DELLAGATTA RN, CCRP

NPI Number: 1871108357
Health Care Provider/Practitioner: CHARETTE DELLAGATTA RN, CCRP

Information about “1871108357” NPI (CHARETTE DELLAGATTA RN, CCRP) exists in 1871108357 in HTML format HTML  |  1871108357 in plain Text format TXT  |  1871108357 in PDF (Portable Document Format) PDF  |  1871108357 in an XML format XML  formats.

NPI Number : 1871108357 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871108357",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DELLAGATTA",
    "FirstName": "CHARETTE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, CCRP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6021 DILLINGHAM AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHREVEPORT",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71106-2109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1449 E BERT KOUN LOOP STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHREVEPORT",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71105-5663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-681-5353",
    "PracticeLocationAddressFaxNumber": "318-681-6305",
    "EnumerationDate": "09/11/2020",
    "LastUpdateDate": "09/11/2020",
    "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": "163WC3500X",
          "TaxonomyName": "Cardiac Rehabilitation Registered Nurse",
          "LicenseNumber": "RN148778",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WD0400X",
          "TaxonomyName": "Diabetes Educator Registered Nurse",
          "LicenseNumber": "RN148778",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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