NPI Code Detail JSON Logo

1306641568 NPI number — MEGAN GLYN NOLAND NP

NPI Number: 1306641568
Health Care Provider/Practitioner: MEGAN GLYN NOLAND NP

Information about “1306641568” NPI (MEGAN GLYN NOLAND NP) exists in 1306641568 in HTML format HTML  |  1306641568 in plain Text format TXT  |  1306641568 in PDF (Portable Document Format) PDF  |  1306641568 in an XML format XML  formats.

NPI Number : 1306641568 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306641568",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOLAND",
    "FirstName": "MEGAN",
    "MiddleName": "GLYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REEVES",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": "GLYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "717 N GALVESTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THAYER",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66776-4033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-432-1769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1527 MADISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FREDONIA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66736-1751",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-378-2121",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2025",
    "LastUpdateDate": "02/13/2025",
    "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": "53-84055-101",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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