1003366949 NPI number — TIFFANY KRISTINE LAMARCA FNP-BC, NP-C

NPI Number: 1003366949
Health Care Provider/Practitioner: TIFFANY KRISTINE LAMARCA FNP-BC, NP-C

NPI Number : 1003366949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003366949",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAMARCA",
    "FirstName": "TIFFANY",
    "MiddleName": "KRISTINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC, NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2061 ENGLEWOOD RD STE 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ENGLEWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34223-1749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-473-8881",
    "MailingAddressFaxNumber": "941-475-0801",
    "FirstLinePracticeLocationAddress": "2061 ENGLEWOOD RD STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ENGLEWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-473-8881",
    "PracticeLocationAddressFaxNumber": "941-475-0801",
    "EnumerationDate": "10/04/2016",
    "LastUpdateDate": "08/10/2018",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "9411338",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}