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1093579484 NPI number — KATELYNN SCHUMACHER FNP

NPI Number: 1093579484
Health Care Provider/Practitioner: KATELYNN SCHUMACHER FNP

Information about “1093579484” NPI (KATELYNN SCHUMACHER FNP) exists in 1093579484 in HTML format HTML  |  1093579484 in plain Text format TXT  |  1093579484 in PDF (Portable Document Format) PDF  |  1093579484 in an XML format XML  formats.

NPI Number : 1093579484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093579484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHUMACHER",
    "FirstName": "KATELYNN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEATHERLY",
    "OtherFirstName": "KATELYNN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13987 N CASCADE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RATHDRUM",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83858-8539",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-503-0253",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2170 W IRONWOOD CENTER DR STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COEUR D ALENE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83814-2606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-665-5596",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2024",
    "LastUpdateDate": "03/28/2024",
    "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": "78974",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "50320",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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