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1619698917 NPI number — MALAINA PICKERING SIBLEY FNP

NPI Number: 1619698917
Health Care Provider/Practitioner: MALAINA PICKERING SIBLEY FNP

Information about “1619698917” NPI (MALAINA PICKERING SIBLEY FNP) exists in 1619698917 in HTML format HTML  |  1619698917 in plain Text format TXT  |  1619698917 in PDF (Portable Document Format) PDF  |  1619698917 in an XML format XML  formats.

NPI Number : 1619698917 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619698917",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIBLEY",
    "FirstName": "MALAINA",
    "MiddleName": "PICKERING",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PICKERING",
    "OtherFirstName": "MALAINA",
    "OtherMiddleName": "BROOKE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13 AMAR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMMOND",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70401-1003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "985-351-0450",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1054 SW RAILROAD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PONCHATOULA",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70454-3557",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-401-9711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2022",
    "LastUpdateDate": "01/22/2024",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "227285",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "227285",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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