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1043201056 NPI number — DIANA LOUISE LEWIS N.P.

NPI Number: 1043201056
Health Care Provider/Practitioner: DIANA LOUISE LEWIS N.P.

Information about “1043201056” NPI (DIANA LOUISE LEWIS N.P.) exists in 1043201056 in HTML format HTML  |  1043201056 in plain Text format TXT  |  1043201056 in PDF (Portable Document Format) PDF  |  1043201056 in an XML format XML  formats.

NPI Number : 1043201056 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043201056",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "DIANA",
    "MiddleName": "LOUISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEWIS",
    "OtherFirstName": "DIANA",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "N.P.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "NM HIGHWAY 120 @MILE MARKER 12.5, SOUTH SIDE OF HIGHWAY",
    "SecondLineMailingAddress": "P.O. BOX 203",
    "MailingAddressCityName": "OCATE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87734",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-666-2475",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "NM STATE HIGHWAY 120,",
    "SecondLinePracticeLocationAddress": "MILE MARKER 12.5",
    "PracticeLocationAddressCityName": "OCATE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87734",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-666-2475",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/31/2005",
    "LastUpdateDate": "06/27/2011",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "R24775",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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