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1619481686 NPI number — PEGGY HOWARD

NPI Number: 1619481686
Health Care Provider/Practitioner: PEGGY HOWARD

Information about “1619481686” NPI (PEGGY HOWARD) exists in 1619481686 in HTML format HTML  |  1619481686 in plain Text format TXT  |  1619481686 in PDF (Portable Document Format) PDF  |  1619481686 in an XML format XML  formats.

NPI Number : 1619481686 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619481686",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOWARD",
    "FirstName": "PEGGY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FULMER",
    "OtherFirstName": "PEGGY",
    "OtherMiddleName": "LEA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2020 BUCKLEY TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SNELLVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30078-3484",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-384-1108",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "UNKNOWN AT THIS TIME",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNELLVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30078",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-312-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2017",
    "LastUpdateDate": "10/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "10/02/2018",
    "NPIReactivationDate": "12/05/2018",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "RN188890",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "RN188890",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "RN188890",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "RN188890",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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