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1073697546 NPI number — AMY GOODWIN BAIRD ARNP

NPI Number: 1073697546
Health Care Provider/Practitioner: AMY GOODWIN BAIRD ARNP

Information about “1073697546” NPI (AMY GOODWIN BAIRD ARNP) exists in 1073697546 in HTML format HTML  |  1073697546 in plain Text format TXT  |  1073697546 in PDF (Portable Document Format) PDF  |  1073697546 in an XML format XML  formats.

NPI Number : 1073697546 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073697546",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAIRD",
    "FirstName": "AMY",
    "MiddleName": "GOODWIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOODWIN",
    "OtherFirstName": "AMY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 E LIBERTY ST STE 800",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40202-1428",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-587-6010",
    "MailingAddressFaxNumber": "502-587-1314",
    "FirstLinePracticeLocationAddress": "6400 DUTCHMANS PKWY STE 345",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-587-6010",
    "PracticeLocationAddressFaxNumber": "502-587-1314",
    "EnumerationDate": "10/24/2006",
    "LastUpdateDate": "01/23/2019",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "4138P",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "3004138",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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