1407521248 NPI number — MIKAYLA HARE DNP, APRN, FNP-BC

NPI Number: 1407521248
Health Care Provider/Practitioner: MIKAYLA HARE DNP, APRN, FNP-BC

NPI Number : 1407521248 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407521248",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARE",
    "FirstName": "MIKAYLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, APRN, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DODSON",
    "OtherFirstName": "MIKAYLA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1701 NICHOLASVILLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40503-1458",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-698-3773",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1150 LEXINGTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GEORGETOWN",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40324-8300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-562-8599",
    "PracticeLocationAddressFaxNumber": "859-257-1214",
    "EnumerationDate": "08/13/2021",
    "LastUpdateDate": "11/11/2022",
    "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": "3016181",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "3016181",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}