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1346751013 NPI number — REBECCA JEANNINE BLAKLEY CPNP

NPI Number: 1346751013
Health Care Provider/Practitioner: REBECCA JEANNINE BLAKLEY CPNP

Information about “1346751013” NPI (REBECCA JEANNINE BLAKLEY CPNP) exists in 1346751013 in HTML format HTML  |  1346751013 in plain Text format TXT  |  1346751013 in PDF (Portable Document Format) PDF  |  1346751013 in an XML format XML  formats.

NPI Number : 1346751013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346751013",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLAKLEY",
    "FirstName": "REBECCA",
    "MiddleName": "JEANNINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BELL",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "JEANNINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "350 HOSPITAL WAY STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERSET",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42503-1872",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-451-2756",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 HOSPITAL WAY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42503-1872",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-207-3466",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/20/2017",
    "LastUpdateDate": "11/14/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/25/2018",
    "NPIReactivationDate": "07/26/2018",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "3014537",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "23410",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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