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1144529843 NPI number — NICOLE M BYRNE MD

NPI Number: 1144529843
Health Care Provider/Practitioner: NICOLE M BYRNE MD

Information about “1144529843” NPI (NICOLE M BYRNE MD) exists in 1144529843 in HTML format HTML  |  1144529843 in plain Text format TXT  |  1144529843 in PDF (Portable Document Format) PDF  |  1144529843 in an XML format XML  formats.

NPI Number : 1144529843 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144529843",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BYRNE",
    "FirstName": "NICOLE",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROWN",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12101 TUKLA INTL BLVD FL 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUKWILA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98168-2569",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-528-4870",
    "MailingAddressFaxNumber": "778-396-5288",
    "FirstLinePracticeLocationAddress": "12101 TUKWILA INTERNATIONAL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUKWILA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98168-2569",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "532-528-4870",
    "PracticeLocationAddressFaxNumber": "877-839-6528",
    "EnumerationDate": "03/21/2011",
    "LastUpdateDate": "06/04/2025",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD60648996",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "MD60648996",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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