1639621378 NPI number — GRACE RATHNA FRANCIS FNP-C, ARNP, MS

NPI Number: 1639621378
Health Care Provider/Practitioner: GRACE RATHNA FRANCIS FNP-C, ARNP, MS

NPI Number : 1639621378 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639621378",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRANCIS",
    "FirstName": "GRACE RATHNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C, ARNP, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 160",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHIPROCK",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87420-0160",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-368-6001",
    "MailingAddressFaxNumber": "505-368-6027",
    "FirstLinePracticeLocationAddress": "US HWY 491 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHIPROCK",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87420",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-368-6001",
    "PracticeLocationAddressFaxNumber": "505-368-6027",
    "EnumerationDate": "10/28/2016",
    "LastUpdateDate": "01/13/2025",
    "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": "056778-23",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP133003",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}