NPI Code Detail JSON Logo

1568964203 NPI number — LIZBETH CAROL GRUBBS FNP-C

NPI Number: 1568964203
Health Care Provider/Practitioner: LIZBETH CAROL GRUBBS FNP-C

Information about “1568964203” NPI (LIZBETH CAROL GRUBBS FNP-C) exists in 1568964203 in HTML format HTML  |  1568964203 in plain Text format TXT  |  1568964203 in PDF (Portable Document Format) PDF  |  1568964203 in an XML format XML  formats.

NPI Number : 1568964203 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568964203",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRUBBS",
    "FirstName": "LIZBETH",
    "MiddleName": "CAROL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 489",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MT ENTERPRISE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75681-0489",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-822-3076",
    "MailingAddressFaxNumber": "866-305-8303",
    "FirstLinePracticeLocationAddress": "106 W RUSK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT ENTERPRISE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75681-7581",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-822-3076",
    "PracticeLocationAddressFaxNumber": "877-305-8303",
    "EnumerationDate": "03/07/2018",
    "LastUpdateDate": "04/07/2025",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "AP136720",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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