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1124652813 NPI number — SUSAN RAE RICHARDS

NPI Number: 1124652813
Health Care Provider/Practitioner: SUSAN RAE RICHARDS

Information about “1124652813” NPI (SUSAN RAE RICHARDS) exists in 1124652813 in HTML format HTML  |  1124652813 in plain Text format TXT  |  1124652813 in PDF (Portable Document Format) PDF  |  1124652813 in an XML format XML  formats.

NPI Number : 1124652813 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124652813",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDS",
    "FirstName": "SUSAN",
    "MiddleName": "RAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "700 BOYD CREEK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCKINNEY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75071-3326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-244-0099",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2720 VIRGINIA PKWY STE 500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCKINNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75071-4963",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-542-1205",
    "PracticeLocationAddressFaxNumber": "877-428-7293",
    "EnumerationDate": "03/03/2020",
    "LastUpdateDate": "08/01/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "AP140995",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "AP140995",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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