NPI Code Detail JSON Logo

1679251821 NPI number — BIENVENUE FAMILY CARE CLINIC

NPI Number: 1679251821
Health Care Provider/Practitioner: BIENVENUE FAMILY CARE CLINIC

Information about “1679251821” NPI (BIENVENUE FAMILY CARE CLINIC) exists in 1679251821 in HTML format HTML  |  1679251821 in plain Text format TXT  |  1679251821 in PDF (Portable Document Format) PDF  |  1679251821 in an XML format XML  formats.

NPI Number : 1679251821 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679251821",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BIENVENUE FAMILY CARE CLINIC",
    "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": "1701 OLD MINDEN RD STE 17F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSSIER CITY",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71111-4804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-317-1238",
    "MailingAddressFaxNumber": "318-390-1800",
    "FirstLinePracticeLocationAddress": "1701 OLD MINDEN RD STE 17F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOSSIER CITY",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71111-4804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-317-1238",
    "PracticeLocationAddressFaxNumber": "318-390-1800",
    "EnumerationDate": "07/07/2023",
    "LastUpdateDate": "07/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMAS",
    "AuthorizedOfficialFirstName": "TIA",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "APRN",
    "AuthorizedOfficialTelephoneNumber": "318-317-1238",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family 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."
        }
      ]
    }
  }
}
                
            

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