NPI Code Detail JSON Logo

1003791377 NPI number — KACIE DENISE CARTER CPNP

NPI Number: 1003791377
Health Care Provider/Practitioner: KACIE DENISE CARTER CPNP

Information about “1003791377” NPI (KACIE DENISE CARTER CPNP) exists in 1003791377 in HTML format HTML  |  1003791377 in plain Text format TXT  |  1003791377 in PDF (Portable Document Format) PDF  |  1003791377 in an XML format XML  formats.

NPI Number : 1003791377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003791377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARTER",
    "FirstName": "KACIE",
    "MiddleName": "DENISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CURTIS",
    "OtherFirstName": "KACIE",
    "OtherMiddleName": "DENISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "601 CHILDRENS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORFOLK",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23507-1971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-668-8796",
    "MailingAddressFaxNumber": "757-668-9814",
    "FirstLinePracticeLocationAddress": "601 CHILDRENS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORFOLK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23507-1971",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-668-8796",
    "PracticeLocationAddressFaxNumber": "757-668-9814",
    "EnumerationDate": "08/07/2025",
    "LastUpdateDate": "08/07/2025",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "0024194231",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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