NPI Code Detail JSON Logo

1316555006 NPI number — LACEY JEAN HALL DNP

NPI Number: 1316555006
Health Care Provider/Practitioner: LACEY JEAN HALL DNP

Information about “1316555006” NPI (LACEY JEAN HALL DNP) exists in 1316555006 in HTML format HTML  |  1316555006 in plain Text format TXT  |  1316555006 in PDF (Portable Document Format) PDF  |  1316555006 in an XML format XML  formats.

NPI Number : 1316555006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316555006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HALL",
    "FirstName": "LACEY",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 505673",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63150-5673",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "501 N OLD WILDERNESS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NIXA",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65714-9490",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-269-2227",
    "PracticeLocationAddressFaxNumber": "417-269-2235",
    "EnumerationDate": "07/19/2020",
    "LastUpdateDate": "08/12/2024",
    "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": "2020019754",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.