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1376898775 NPI number — KAREN ELIZABETH STAPLE FNP

NPI Number: 1376898775
Health Care Provider/Practitioner: KAREN ELIZABETH STAPLE FNP

Information about “1376898775” NPI (KAREN ELIZABETH STAPLE FNP) exists in 1376898775 in HTML format HTML  |  1376898775 in plain Text format TXT  |  1376898775 in PDF (Portable Document Format) PDF  |  1376898775 in an XML format XML  formats.

NPI Number : 1376898775 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376898775",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STAPLE",
    "FirstName": "KAREN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "612 CORPORATE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VALLEY COTTAGE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10989-2021",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-258-6331",
    "MailingAddressFaxNumber": "718-362-1411",
    "FirstLinePracticeLocationAddress": "34 CROMER RD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELMONT",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11003-4825",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-258-6331",
    "PracticeLocationAddressFaxNumber": "718-362-1651",
    "EnumerationDate": "07/23/2012",
    "LastUpdateDate": "04/09/2025",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "444135",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F337464",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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