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1275374340 NPI number — JUST A GIRL FROM THE BAYOU

NPI Number: 1275374340
Health Care Provider/Practitioner: JUST A GIRL FROM THE BAYOU

Information about “1275374340” NPI (JUST A GIRL FROM THE BAYOU) exists in 1275374340 in HTML format HTML  |  1275374340 in plain Text format TXT  |  1275374340 in PDF (Portable Document Format) PDF  |  1275374340 in an XML format XML  formats.

NPI Number : 1275374340 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275374340",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JUST A GIRL FROM THE BAYOU",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "513 HICKORY RUN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CEDAR PARK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78613-3993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-705-0370",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "513 HICKORY RUN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CEDAR PARK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78613-3993",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-954-4707",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/03/2024",
    "LastUpdateDate": "07/27/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NIX",
    "AuthorizedOfficialFirstName": "KEESHA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, MSN, MHA",
    "AuthorizedOfficialTelephoneNumber": "512-705-0370",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "347C00000X",
          "TaxonomyName": "Private Vehicle",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "343800000X",
          "TaxonomyName": "Secured Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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