NPI Code Detail JSON Logo

1942392816 NPI number — SANDRA M. RIETH MSN ANP-BC CNRN CCRN

NPI Number: 1942392816
Health Care Provider/Practitioner: SANDRA M. RIETH MSN ANP-BC CNRN CCRN

Information about “1942392816” NPI (SANDRA M. RIETH MSN ANP-BC CNRN CCRN) exists in 1942392816 in HTML format HTML  |  1942392816 in plain Text format TXT  |  1942392816 in PDF (Portable Document Format) PDF  |  1942392816 in an XML format XML  formats.

NPI Number : 1942392816 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942392816",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIETH",
    "FirstName": "SANDRA",
    "MiddleName": "M.",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSN ANP-BC CNRN CCRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2564 COMMERCE PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH PORT",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34289-9337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-893-2733",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2564 COMMERCE PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH PORT",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34289-9337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-893-2733",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2006",
    "LastUpdateDate": "05/11/2018",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "209007269",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "137630",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "ARNP9432148",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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