NPI Code Detail JSON Logo

1306100672 NPI number — HEATHER L BROOKS FNP-C

NPI Number: 1306100672
Health Care Provider/Practitioner: HEATHER L BROOKS FNP-C

Information about “1306100672” NPI (HEATHER L BROOKS FNP-C) exists in 1306100672 in HTML format HTML  |  1306100672 in plain Text format TXT  |  1306100672 in PDF (Portable Document Format) PDF  |  1306100672 in an XML format XML  formats.

NPI Number : 1306100672 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306100672",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROOKS",
    "FirstName": "HEATHER",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "115 PINE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SLIDELL",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70458-1138",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-913-5454",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1570 LINDBERG DR # 10-12",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SLIDELL",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70458-8083",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-643-5242",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2012",
    "LastUpdateDate": "01/06/2013",
    "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": "AP06867",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "R892477",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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