NPI Code Detail JSON Logo

1013660117 NPI number — RACHEL ANN MANKARIOS NP

NPI Number: 1013660117
Health Care Provider/Practitioner: RACHEL ANN MANKARIOS NP

Information about “1013660117” NPI (RACHEL ANN MANKARIOS NP) exists in 1013660117 in HTML format HTML  |  1013660117 in plain Text format TXT  |  1013660117 in PDF (Portable Document Format) PDF  |  1013660117 in an XML format XML  formats.

NPI Number : 1013660117 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013660117",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANKARIOS",
    "FirstName": "RACHEL",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MYERS",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "460 WILLIAM HILTON PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILTON HEAD ISLAND",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29926-2497",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-738-4800",
    "MailingAddressFaxNumber": "843-738-4801",
    "FirstLinePracticeLocationAddress": "720 ESKENAZI AVENUE",
    "SecondLinePracticeLocationAddress": "FIFTH THIRD BANK BUILDING, 1ST FLOOR",
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46202-5166",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-880-6559",
    "PracticeLocationAddressFaxNumber": "317-880-0411",
    "EnumerationDate": "01/28/2022",
    "LastUpdateDate": "04/06/2023",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "25677",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "71013728A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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