NPI Code Detail JSON Logo

1386755650 NPI number — MARIA Y. DUBOIS NP

NPI Number: 1386755650
Health Care Provider/Practitioner: MARIA Y. DUBOIS NP

Information about “1386755650” NPI (MARIA Y. DUBOIS NP) exists in 1386755650 in HTML format HTML  |  1386755650 in plain Text format TXT  |  1386755650 in PDF (Portable Document Format) PDF  |  1386755650 in an XML format XML  formats.

NPI Number : 1386755650 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386755650",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUBOIS",
    "FirstName": "MARIA",
    "MiddleName": "Y.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "75 RED MAPLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAUGERTIES",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12477-9327",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-388-6221",
    "MailingAddressFaxNumber": "845-679-0324",
    "FirstLinePracticeLocationAddress": "15 PINE GROVE ST",
    "SecondLinePracticeLocationAddress": "WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES",
    "PracticeLocationAddressCityName": "WOODSTOCK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12498-1507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-679-6678",
    "PracticeLocationAddressFaxNumber": "845-679-0324",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "11/20/2019",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "F332596",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F332596",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "F401094-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.