NPI Code Detail JSON Logo

1477122414 NPI number — KAYLA GRACE MCCARTHY AGACNP-BC

NPI Number: 1477122414
Health Care Provider/Practitioner: KAYLA GRACE MCCARTHY AGACNP-BC

Information about “1477122414” NPI (KAYLA GRACE MCCARTHY AGACNP-BC) exists in 1477122414 in HTML format HTML  |  1477122414 in plain Text format TXT  |  1477122414 in PDF (Portable Document Format) PDF  |  1477122414 in an XML format XML  formats.

NPI Number : 1477122414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477122414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCARTHY",
    "FirstName": "KAYLA",
    "MiddleName": "GRACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGACNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5927 PENROSE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75206-5521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-739-9864",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3901 W 15TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75075-7738",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-596-6800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2021",
    "LastUpdateDate": "04/01/2024",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "1045639",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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