NPI Code Detail JSON Logo

1417218140 NPI number — SHAMILLE RANAYE THOMAS

NPI Number: 1417218140
Health Care Provider/Practitioner: SHAMILLE RANAYE THOMAS

Information about “1417218140” NPI (SHAMILLE RANAYE THOMAS) exists in 1417218140 in HTML format HTML  |  1417218140 in plain Text format TXT  |  1417218140 in PDF (Portable Document Format) PDF  |  1417218140 in an XML format XML  formats.

NPI Number : 1417218140 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417218140",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "SHAMILLE",
    "MiddleName": "RANAYE",
    "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": "5 PECAN DRIVE LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCALA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34472-6249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-299-6847",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5 PECAN DRIVE LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCALA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34472-6249",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-299-6847",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2012",
    "LastUpdateDate": "09/10/2026",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "9455385",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "374U00000X",
          "TaxonomyName": "Home Health Aide",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "9455385",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0200X",
          "TaxonomyName": "Pediatric Registered Nurse",
          "LicenseNumber": "9455385",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "5223312",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376K00000X",
          "TaxonomyName": "Nurse's Aide",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376J00000X",
          "TaxonomyName": "Homemaker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "373H00000X",
          "TaxonomyName": "Day Training/Habilitation Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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