NPI Code Detail JSON Logo

1063370062 NPI number — MONICA ALICE PAYNE

NPI Number: 1063370062
Health Care Provider/Practitioner: MONICA ALICE PAYNE

Information about “1063370062” NPI (MONICA ALICE PAYNE) exists in 1063370062 in HTML format HTML  |  1063370062 in plain Text format TXT  |  1063370062 in PDF (Portable Document Format) PDF  |  1063370062 in an XML format XML  formats.

NPI Number : 1063370062 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063370062",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAYNE",
    "FirstName": "MONICA",
    "MiddleName": "ALICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRODY",
    "OtherFirstName": "MONICA",
    "OtherMiddleName": "ALICE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2926 ENSENADA CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAVARRE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32566-8898",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-758-3238",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2926 ENSENADA CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAVARRE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32566-8898",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-758-3238",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2026",
    "LastUpdateDate": "01/10/2026",
    "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": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "PN5260108",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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