1265683130 NPI number — DIANNE BOWERS F.N.P.-BC

NPI Number: 1265683130
Health Care Provider/Practitioner: DIANNE BOWERS F.N.P.-BC

NPI Number : 1265683130 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265683130",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOWERS",
    "FirstName": "DIANNE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "F.N.P.-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3801 WILLIAM D TATE AVE STE 840",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAPEVINE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76051-8759",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-310-3772",
    "MailingAddressFaxNumber": "817-310-3950",
    "FirstLinePracticeLocationAddress": "3801 WILLIAM D TATE AVE STE 840",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAPEVINE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76051-8759",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-310-3772",
    "PracticeLocationAddressFaxNumber": "817-310-3950",
    "EnumerationDate": "10/09/2008",
    "LastUpdateDate": "09/03/2009",
    "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": "655663",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}