NPI Code Detail JSON Logo

1295150829 NPI number — SIMONA URIBE NP-C

NPI Number: 1295150829
Health Care Provider/Practitioner: SIMONA URIBE NP-C

Information about “1295150829” NPI (SIMONA URIBE NP-C) exists in 1295150829 in HTML format HTML  |  1295150829 in plain Text format TXT  |  1295150829 in PDF (Portable Document Format) PDF  |  1295150829 in an XML format XML  formats.

NPI Number : 1295150829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295150829",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "URIBE",
    "FirstName": "SIMONA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MURESAN",
    "OtherFirstName": "SIMONA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2304 N MOODY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60639-2732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-552-1752",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5002 W MADISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60644-4127",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-379-1375",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/18/2014",
    "LastUpdateDate": "02/18/2014",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "209009577",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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