NPI Code Detail JSON Logo

1376936815 NPI number — KELSEY ANNE SIMM DNP

NPI Number: 1376936815
Health Care Provider/Practitioner: KELSEY ANNE SIMM DNP

Information about “1376936815” NPI (KELSEY ANNE SIMM DNP) exists in 1376936815 in HTML format HTML  |  1376936815 in plain Text format TXT  |  1376936815 in PDF (Portable Document Format) PDF  |  1376936815 in an XML format XML  formats.

NPI Number : 1376936815 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376936815",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMM",
    "FirstName": "KELSEY",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "QUEALY",
    "OtherFirstName": "KELSEY",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "DNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12 ROBBINS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEVILLE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02347-2001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "774-254-1794",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "483B GREAT NECK RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MASHPEE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02649-3707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-477-6967",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2015",
    "LastUpdateDate": "09/26/2016",
    "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": "RN2267888",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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