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1306197942 NPI number — TAKESHIA MONIQUE DENT-THOMAS DNP, MSN, CCRN, NP-C

NPI Number: 1306197942
Health Care Provider/Practitioner: TAKESHIA MONIQUE DENT-THOMAS DNP, MSN, CCRN, NP-C

Information about “1306197942” NPI (TAKESHIA MONIQUE DENT-THOMAS DNP, MSN, CCRN, NP-C) exists in 1306197942 in HTML format HTML  |  1306197942 in plain Text format TXT  |  1306197942 in PDF (Portable Document Format) PDF  |  1306197942 in an XML format XML  formats.

NPI Number : 1306197942 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306197942",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DENT-THOMAS",
    "FirstName": "TAKESHIA",
    "MiddleName": "MONIQUE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP, MSN, CCRN, NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DENT-THOMAS",
    "OtherFirstName": "TAKESHIA",
    "OtherMiddleName": "MONIQUE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DNP, MSN, CCRN, NP-C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3039 ALLISON BONNETT MEMORIAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUEYTOWN",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35023-2397",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-538-5178",
    "MailingAddressFaxNumber": "205-538-5194",
    "FirstLinePracticeLocationAddress": "3039 ALLISON BONNETT MEMORIAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUEYTOWN",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35023-2397",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-538-5178",
    "PracticeLocationAddressFaxNumber": "205-538-5194",
    "EnumerationDate": "09/22/2012",
    "LastUpdateDate": "07/29/2025",
    "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": "1-107825",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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