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1164714994 NPI number — DARLENE AMANDA HIATT ARNP

NPI Number: 1164714994
Health Care Provider/Practitioner: DARLENE AMANDA HIATT ARNP

Information about “1164714994” NPI (DARLENE AMANDA HIATT ARNP) exists in 1164714994 in HTML format HTML  |  1164714994 in plain Text format TXT  |  1164714994 in PDF (Portable Document Format) PDF  |  1164714994 in an XML format XML  formats.

NPI Number : 1164714994 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164714994",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HIATT",
    "FirstName": "DARLENE",
    "MiddleName": "AMANDA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HIATT",
    "OtherFirstName": "DARLENE",
    "OtherMiddleName": "AMANDA",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "ARNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1387 ROBIN HOOD LN",
    "SecondLineMailingAddress": "APT 3",
    "MailingAddressCityName": "DUNEDIN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34698-5347",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-301-8572",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8001 DR MARTIN LUTHER KING JR ST N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PETERSBURG",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33702-4109",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-577-6888",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/12/2011",
    "LastUpdateDate": "01/22/2015",
    "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": "9265473",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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