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1417192931 NPI number — KRISTIE NEICHALL PEGGINS FNP

NPI Number: 1417192931
Health Care Provider/Practitioner: KRISTIE NEICHALL PEGGINS FNP

Information about “1417192931” NPI (KRISTIE NEICHALL PEGGINS FNP) exists in 1417192931 in HTML format HTML  |  1417192931 in plain Text format TXT  |  1417192931 in PDF (Portable Document Format) PDF  |  1417192931 in an XML format XML  formats.

NPI Number : 1417192931 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417192931",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEGGINS",
    "FirstName": "KRISTIE",
    "MiddleName": "NEICHALL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WOODS",
    "OtherFirstName": "KRISTIE",
    "OtherMiddleName": "NEICHALL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1290 SILAS DEANE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WETHERSFIELD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06109-4337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1094 KILLINGLY COMMONS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAYVILLE",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06241-2187",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-601-4513",
    "PracticeLocationAddressFaxNumber": "813-940-7440",
    "EnumerationDate": "12/12/2008",
    "LastUpdateDate": "12/29/2025",
    "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": "15924",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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