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1235696287 NPI number — RACHEL JANETTE KALLEMEYN FNP

NPI Number: 1235696287
Health Care Provider/Practitioner: RACHEL JANETTE KALLEMEYN FNP

Information about “1235696287” NPI (RACHEL JANETTE KALLEMEYN FNP) exists in 1235696287 in HTML format HTML  |  1235696287 in plain Text format TXT  |  1235696287 in PDF (Portable Document Format) PDF  |  1235696287 in an XML format XML  formats.

NPI Number : 1235696287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235696287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KALLEMEYN",
    "FirstName": "RACHEL",
    "MiddleName": "JANETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUDLOW",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "JANETTE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1593 E POLSTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POST FALLS",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83854-5326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-262-2300",
    "MailingAddressFaxNumber": "208-262-2349",
    "FirstLinePracticeLocationAddress": "7173 E SUPER 1 LOOP STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATHOL",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83801-7109",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-561-9901",
    "PracticeLocationAddressFaxNumber": "208-561-9968",
    "EnumerationDate": "02/26/2019",
    "LastUpdateDate": "12/20/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "95011208",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "6361073",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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