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1871503565 NPI number — BARBARA HEINZ ROBERTUS P.A.

NPI Number: 1871503565
Health Care Provider/Practitioner: BARBARA HEINZ ROBERTUS P.A.

Information about “1871503565” NPI (BARBARA HEINZ ROBERTUS P.A.) exists in 1871503565 in HTML format HTML  |  1871503565 in plain Text format TXT  |  1871503565 in PDF (Portable Document Format) PDF  |  1871503565 in an XML format XML  formats.

NPI Number : 1871503565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871503565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBERTUS",
    "FirstName": "BARBARA",
    "MiddleName": "HEINZ",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "P.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1300 E CYPRESS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA MARIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93454-4728",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-349-8972",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 E CYPRESS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA MARIA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93454-4728",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-349-8972",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2006",
    "LastUpdateDate": "01/18/2024",
    "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": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "1750318127",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "9648",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "14652",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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