NPI Code Detail JSON Logo

1336674589 NPI number — JOI MAINOO RN, ATC, LAT

NPI Number: 1336674589
Health Care Provider/Practitioner: JOI MAINOO RN, ATC, LAT

Information about “1336674589” NPI (JOI MAINOO RN, ATC, LAT) exists in 1336674589 in HTML format HTML  |  1336674589 in plain Text format TXT  |  1336674589 in PDF (Portable Document Format) PDF  |  1336674589 in an XML format XML  formats.

NPI Number : 1336674589 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336674589",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAINOO",
    "FirstName": "JOI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, ATC, LAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2789 SUNLIGHT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ELM",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75068-7615",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-952-8215",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2789 SUNLIGHT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ELM",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75068-7615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-952-8215",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/25/2017",
    "LastUpdateDate": "03/30/2021",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT8116",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376K00000X",
          "TaxonomyName": "Nurse's Aide",
          "LicenseNumber": "NA0060041634",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "1014362",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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