NPI Code Detail JSON Logo

1659058725 NPI number — GLOBAL ELITE MEDICAL SERVICES LLC

NPI Number: 1659058725
Health Care Provider/Practitioner: GLOBAL ELITE MEDICAL SERVICES LLC

Information about “1659058725” NPI (GLOBAL ELITE MEDICAL SERVICES LLC) exists in 1659058725 in HTML format HTML  |  1659058725 in plain Text format TXT  |  1659058725 in PDF (Portable Document Format) PDF  |  1659058725 in an XML format XML  formats.

NPI Number : 1659058725 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659058725",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GLOBAL ELITE MEDICAL SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3100 MILL ST STE 115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENO",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89502-2217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-433-1433",
    "MailingAddressFaxNumber": "775-996-7777",
    "FirstLinePracticeLocationAddress": "3100 MILL ST STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89502-2217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-240-4628",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2023",
    "LastUpdateDate": "10/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RALLECA LLAGUNO",
    "AuthorizedOfficialFirstName": "GERALDENE",
    "AuthorizedOfficialMiddleName": "MONICA",
    "AuthorizedOfficialTitle": "FAMILY PRACTITIONER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP",
    "AuthorizedOfficialTelephoneNumber": "775-240-4628",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WW0000X",
          "TaxonomyName": "Wound Care Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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