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1982198198 NPI number — JESSI S WAY MS

NPI Number: 1982198198
Health Care Provider/Practitioner: JESSI S WAY MS

Information about “1982198198” NPI (JESSI S WAY MS) exists in 1982198198 in HTML format HTML  |  1982198198 in plain Text format TXT  |  1982198198 in PDF (Portable Document Format) PDF  |  1982198198 in an XML format XML  formats.

NPI Number : 1982198198 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982198198",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WAY",
    "FirstName": "JESSI",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WAY",
    "OtherFirstName": "JESSI",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "530 GRANT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAUSAU",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54403-4738",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "715-298-6365",
    "FirstLinePracticeLocationAddress": "530 GRANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAUSAU",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54403-4738",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-845-5493",
    "PracticeLocationAddressFaxNumber": "715-298-6365",
    "EnumerationDate": "06/20/2018",
    "LastUpdateDate": "12/28/2021",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "3954-226",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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