NPI Code Detail JSON Logo

1083507933 NPI number — JACLYN BOOP-LOOPE NP

NPI Number: 1083507933
Health Care Provider/Practitioner: JACLYN BOOP-LOOPE NP

Information about “1083507933” NPI (JACLYN BOOP-LOOPE NP) exists in 1083507933 in HTML format HTML  |  1083507933 in plain Text format TXT  |  1083507933 in PDF (Portable Document Format) PDF  |  1083507933 in an XML format XML  formats.

NPI Number : 1083507933 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083507933",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOOP-LOOPE",
    "FirstName": "JACLYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "33 LEWIS RD",
    "SecondLineMailingAddress": "FL 2",
    "MailingAddressCityName": "BINGHAMTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13905",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "607-770-0025",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "30 HARRISON ST STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSON CITY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13790-2176",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-763-8008",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/30/2025",
    "LastUpdateDate": "05/30/2025",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "433308",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.