NPI Code Detail JSON Logo

1023240587 NPI number — TINA M. DAVIS-LARKIN APN

NPI Number: 1023240587
Health Care Provider/Practitioner: TINA M. DAVIS-LARKIN APN

Information about “1023240587” NPI (TINA M. DAVIS-LARKIN APN) exists in 1023240587 in HTML format HTML  |  1023240587 in plain Text format TXT  |  1023240587 in PDF (Portable Document Format) PDF  |  1023240587 in an XML format XML  formats.

NPI Number : 1023240587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023240587",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS-LARKIN",
    "FirstName": "TINA",
    "MiddleName": "M.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8043 S FAIRFIELD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60652-2717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-684-4116",
    "MailingAddressFaxNumber": "708-684-4272",
    "FirstLinePracticeLocationAddress": "4440 W 95TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-684-4116",
    "PracticeLocationAddressFaxNumber": "708-684-4272",
    "EnumerationDate": "08/18/2009",
    "LastUpdateDate": "08/18/2009",
    "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": "163WX0002X",
          "TaxonomyName": "High-Risk Obstetric Registered Nurse",
          "LicenseNumber": "209006718",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WX0003X",
          "TaxonomyName": "Inpatient Obstetric Registered Nurse",
          "LicenseNumber": "209006718",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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