NPI Code Detail JSON Logo

1356618425 NPI number — ALYSA M BAYLES ACNP-BC

NPI Number: 1356618425
Health Care Provider/Practitioner: ALYSA M BAYLES ACNP-BC

Information about “1356618425” NPI (ALYSA M BAYLES ACNP-BC) exists in 1356618425 in HTML format HTML  |  1356618425 in plain Text format TXT  |  1356618425 in PDF (Portable Document Format) PDF  |  1356618425 in an XML format XML  formats.

NPI Number : 1356618425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356618425",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAYLES",
    "FirstName": "ALYSA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ACNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BENNEFIELD",
    "OtherFirstName": "ALYSA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ACNP-BC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1300 W TERRELL AVE FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76104-2820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-820-4906",
    "MailingAddressFaxNumber": "817-820-4815",
    "FirstLinePracticeLocationAddress": "1300 W TERRELL AVE FL 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76104-2820",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-820-4906",
    "PracticeLocationAddressFaxNumber": "817-820-4815",
    "EnumerationDate": "11/17/2011",
    "LastUpdateDate": "01/31/2012",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "658088",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.