NPI Code Detail JSON Logo

1518478908 NPI number — TERESA MARIE SIMPSON MPAS

NPI Number: 1518478908
Health Care Provider/Practitioner: TERESA MARIE SIMPSON MPAS

Information about “1518478908” NPI (TERESA MARIE SIMPSON MPAS) exists in 1518478908 in HTML format HTML  |  1518478908 in plain Text format TXT  |  1518478908 in PDF (Portable Document Format) PDF  |  1518478908 in an XML format XML  formats.

NPI Number : 1518478908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518478908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMPSON",
    "FirstName": "TERESA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPAS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FARSON",
    "OtherFirstName": "TERESA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "900 MEADOW CIR N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KELLER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76248-3635",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "800 MEDICAL CENTER DR STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76234-3844",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-626-2110",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2017",
    "LastUpdateDate": "10/12/2017",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA11473",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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