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1164128591 NPI number — RIBI CHERIAN MATHEW AGNP-C

NPI Number: 1164128591
Health Care Provider/Practitioner: RIBI CHERIAN MATHEW AGNP-C

Information about “1164128591” NPI (RIBI CHERIAN MATHEW AGNP-C) exists in 1164128591 in HTML format HTML  |  1164128591 in plain Text format TXT  |  1164128591 in PDF (Portable Document Format) PDF  |  1164128591 in an XML format XML  formats.

NPI Number : 1164128591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164128591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATHEW",
    "FirstName": "RIBI",
    "MiddleName": "CHERIAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RIBI CHERIAN",
    "OtherFirstName": "FNU",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7522 COPPER MDW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONVERSE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78109-3941",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-436-3635",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10423 TX-151",
    "SecondLinePracticeLocationAddress": "STE 103",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78251",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-816-8066",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2023",
    "LastUpdateDate": "02/07/2023",
    "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": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "1109294",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "1109294",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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