1942934021 NPI number — HEIDI C AUSTIN M.A., CCC-SLP

NPI Number: 1942934021
Health Care Provider/Practitioner: HEIDI C AUSTIN M.A., CCC-SLP

NPI Number : 1942934021 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942934021",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AUSTIN",
    "FirstName": "HEIDI",
    "MiddleName": "C",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHOATE",
    "OtherFirstName": "HEIDI",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A., CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "35 EMERSON MILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMPDEN",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04444-1012",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-441-5486",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 EMERSON MILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMPDEN",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04444-1012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-441-5486",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2022",
    "LastUpdateDate": "07/13/2022",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SP2200",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}