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1386974426 NPI number — SHELIA PRUITT-ORR

NPI Number: 1386974426
Health Care Provider/Practitioner: SHELIA PRUITT-ORR

Information about “1386974426” NPI (SHELIA PRUITT-ORR) exists in 1386974426 in HTML format HTML  |  1386974426 in plain Text format TXT  |  1386974426 in PDF (Portable Document Format) PDF  |  1386974426 in an XML format XML  formats.

NPI Number : 1386974426 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386974426",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRUITT-ORR",
    "FirstName": "SHELIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1304 S 25TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDINBURG",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78542-7205",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-686-5692",
    "MailingAddressFaxNumber": "956-383-8864",
    "FirstLinePracticeLocationAddress": "1304 S 25TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDINBURG",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78542-7205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-686-5692",
    "PracticeLocationAddressFaxNumber": "956-383-8864",
    "EnumerationDate": "01/13/2010",
    "LastUpdateDate": "10/04/2016",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "522420",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "AP104901",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "364SP1700X",
          "TaxonomyName": "Perinatal Clinical Nurse Specialist",
          "LicenseNumber": "AP104901",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "AP104901",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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