NPI Code Detail JSON Logo

1104120344 NPI number — LAFAWN C DOWDELL LPN

NPI Number: 1104120344
Health Care Provider/Practitioner: LAFAWN C DOWDELL LPN

Information about “1104120344” NPI (LAFAWN C DOWDELL LPN) exists in 1104120344 in HTML format HTML  |  1104120344 in plain Text format TXT  |  1104120344 in PDF (Portable Document Format) PDF  |  1104120344 in an XML format XML  formats.

NPI Number : 1104120344 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104120344",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOWDELL",
    "FirstName": "LAFAWN",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLOOD",
    "OtherFirstName": "LAFAWN",
    "OtherMiddleName": "C",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4600 MONTGOMERY RD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45212-2600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-873-1269",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "341 N FAYETTEVILLE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHEBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27203-5501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-510-4357",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2011",
    "LastUpdateDate": "04/08/2024",
    "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": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "250985",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "089606",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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