NPI Code Detail JSON Logo

1437058278 NPI number — TYMEKA LACE LABRECQUE RN

NPI Number: 1437058278
Health Care Provider/Practitioner: TYMEKA LACE LABRECQUE RN

Information about “1437058278” NPI (TYMEKA LACE LABRECQUE RN) exists in 1437058278 in HTML format HTML  |  1437058278 in plain Text format TXT  |  1437058278 in PDF (Portable Document Format) PDF  |  1437058278 in an XML format XML  formats.

NPI Number : 1437058278 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437058278",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LABRECQUE",
    "FirstName": "TYMEKA",
    "MiddleName": "LACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOUSTAS",
    "OtherFirstName": "TYMEKA",
    "OtherMiddleName": "LACE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 28",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGH SPRINGS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32655-0028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1600 SW ARCHER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32610-3003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-265-0111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2026",
    "LastUpdateDate": "11/05/2026",
    "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": "163W00000X",
        "TaxonomyName": "Registered Nurse",
        "LicenseNumber": "RN9657264",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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