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1053497370 NPI number — KIMBERLY HULL LEIGHT MS, PSYNP

NPI Number: 1053497370
Health Care Provider/Practitioner: KIMBERLY HULL LEIGHT MS, PSYNP

Information about “1053497370” NPI (KIMBERLY HULL LEIGHT MS, PSYNP) exists in 1053497370 in HTML format HTML  |  1053497370 in plain Text format TXT  |  1053497370 in PDF (Portable Document Format) PDF  |  1053497370 in an XML format XML  formats.

NPI Number : 1053497370 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053497370",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEIGHT",
    "FirstName": "KIMBERLY",
    "MiddleName": "HULL",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS, PSYNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PIMENTA",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "HULL",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1454 E LOS ARBOLES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEMPE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85284-2459",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1232 E BROADWAY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEMPE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85282-1511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-784-1514",
    "PracticeLocationAddressFaxNumber": "480-967-3528",
    "EnumerationDate": "10/29/2006",
    "LastUpdateDate": "03/15/2012",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "RN054775",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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