NPI Code Detail JSON Logo

1508601634 NPI number — JACOB TANNER BARB RN

NPI Number: 1508601634
Health Care Provider/Practitioner: JACOB TANNER BARB RN

Information about “1508601634” NPI (JACOB TANNER BARB RN) exists in 1508601634 in HTML format HTML  |  1508601634 in plain Text format TXT  |  1508601634 in PDF (Portable Document Format) PDF  |  1508601634 in an XML format XML  formats.

NPI Number : 1508601634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508601634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARB",
    "FirstName": "JACOB",
    "MiddleName": "TANNER",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7950 LEGACY DR STE 1000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75024-0417",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-943-6400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7950 LEGACY DR STE 1000",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75024-0417",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-943-6400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2024",
    "LastUpdateDate": "06/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WN0002X",
          "TaxonomyName": "Neonatal Intensive Care Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WN0003X",
          "TaxonomyName": "Low-Risk Neonatal Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0200X",
          "TaxonomyName": "Pediatric Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0218X",
          "TaxonomyName": "Pediatric Oncology Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0807X",
          "TaxonomyName": "Child & Adolescent Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376G00000X",
          "TaxonomyName": "Nursing Home Administrator",
          "LicenseNumber": "NHA-NHA-LIC-6721",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WA2000X",
          "TaxonomyName": "Administrator Registered Nurse",
          "LicenseNumber": "255632",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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