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1659467876 NPI number — KATHERINE D. PRESLEY FNP-C, ENP-C

NPI Number: 1659467876
Health Care Provider/Practitioner: KATHERINE D. PRESLEY FNP-C, ENP-C

Information about “1659467876” NPI (KATHERINE D. PRESLEY FNP-C, ENP-C) exists in 1659467876 in HTML format HTML  |  1659467876 in plain Text format TXT  |  1659467876 in PDF (Portable Document Format) PDF  |  1659467876 in an XML format XML  formats.

NPI Number : 1659467876 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659467876",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRESLEY",
    "FirstName": "KATHERINE",
    "MiddleName": "D.",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-C, ENP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERRMANN",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": "D.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23900 KATY FWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KATY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77494-1323",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-644-7111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23900 KATY FWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KATY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77494-1323",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-644-7111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2006",
    "LastUpdateDate": "09/19/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "686583",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F0706315",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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