NPI Code Detail JSON Logo

1407678006 NPI number — BRANITA DAWN JAYNE

NPI Number: 1407678006
Health Care Provider/Practitioner: BRANITA DAWN JAYNE

Information about “1407678006” NPI (BRANITA DAWN JAYNE) exists in 1407678006 in HTML format HTML  |  1407678006 in plain Text format TXT  |  1407678006 in PDF (Portable Document Format) PDF  |  1407678006 in an XML format XML  formats.

NPI Number : 1407678006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407678006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAYNE",
    "FirstName": "BRANITA",
    "MiddleName": "DAWN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRAND",
    "OtherFirstName": "BRANITA",
    "OtherMiddleName": "DAWN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2660 S LUTHER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRAH",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73045-6368",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-823-7214",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4401 W MEMORIAL RD STE 143",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73134-1787",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-486-8600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2024",
    "LastUpdateDate": "10/26/2024",
    "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": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "RN2382427",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "10025322",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "R0091363",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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