NPI Code Detail JSON Logo

1437969748 NPI number — KELLEY DEMING MATHIS RN

NPI Number: 1437969748
Health Care Provider/Practitioner: KELLEY DEMING MATHIS RN

Information about “1437969748” NPI (KELLEY DEMING MATHIS RN) exists in 1437969748 in HTML format HTML  |  1437969748 in plain Text format TXT  |  1437969748 in PDF (Portable Document Format) PDF  |  1437969748 in an XML format XML  formats.

NPI Number : 1437969748 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437969748",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATHIS",
    "FirstName": "KELLEY",
    "MiddleName": "DEMING",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEMING",
    "OtherFirstName": "KELLEY",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "720 HOSPITAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANDREWS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79714-3617",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "432-464-2200",
    "MailingAddressFaxNumber": "432-464-2177",
    "FirstLinePracticeLocationAddress": "720 HOSPITAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANDREWS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79714-3617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "432-464-2200",
    "PracticeLocationAddressFaxNumber": "432-464-2177",
    "EnumerationDate": "01/09/2025",
    "LastUpdateDate": "01/09/2025",
    "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": "163WM0705X",
          "TaxonomyName": "Medical-Surgical Registered Nurse",
          "LicenseNumber": "804014",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "804014",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.