NPI Code Detail JSON Logo

1952293839 NPI number — AUDREY JANE CHITWOOD

NPI Number: 1952293839
Health Care Provider/Practitioner: AUDREY JANE CHITWOOD

Information about “1952293839” NPI (AUDREY JANE CHITWOOD) exists in 1952293839 in HTML format HTML  |  1952293839 in plain Text format TXT  |  1952293839 in PDF (Portable Document Format) PDF  |  1952293839 in an XML format XML  formats.

NPI Number : 1952293839 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952293839",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHITWOOD",
    "FirstName": "AUDREY",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61382 FRANKE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97702-9402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "131 NW HAWTHORNE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97703-2929",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-420-9419",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2025",
    "LastUpdateDate": "07/16/2025",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "20798",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.