NPI Code Detail JSON Logo

1043093206 NPI number — MEGAN NICOLE AYERS FNP

NPI Number: 1043093206
Health Care Provider/Practitioner: MEGAN NICOLE AYERS FNP

Information about “1043093206” NPI (MEGAN NICOLE AYERS FNP) exists in 1043093206 in HTML format HTML  |  1043093206 in plain Text format TXT  |  1043093206 in PDF (Portable Document Format) PDF  |  1043093206 in an XML format XML  formats.

NPI Number : 1043093206 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043093206",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AYERS",
    "FirstName": "MEGAN",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 3158",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97208-3158",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-215-6494",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 DIVISION ST STE 220",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OREGON CITY",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97045-1527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-513-1900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2023",
    "LastUpdateDate": "02/24/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "100500109",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "10011563",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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