1023322245 NPI number — LACHANTHIA NICOLE HALL C.N.A,, H.H.A. MEDIC

NPI Number: 1023322245
Health Care Provider/Practitioner: LACHANTHIA NICOLE HALL C.N.A,, H.H.A. MEDIC

NPI Number : 1023322245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023322245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HALL",
    "FirstName": "LACHANTHIA",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "C.N.A,, H.H.A. MEDIC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1700 N MONROE ST STE 11-228",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALLAHASSEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32303-5535",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-212-9663",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 N MONROE ST STE 11-228 TALLAHASSEE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALLAHASSEE FLORIDA 32303",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32304-5019",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-212-9663",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2010",
    "LastUpdateDate": "08/17/2023",
    "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": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "238524",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}