NPI Code Detail JSON Logo

1689207185 NPI number — ADVANCED COMPREHENSIVE CARE PLLC

NPI Number: 1689207185
Health Care Provider/Practitioner: ADVANCED COMPREHENSIVE CARE PLLC

Information about “1689207185” NPI (ADVANCED COMPREHENSIVE CARE PLLC) exists in 1689207185 in HTML format HTML  |  1689207185 in plain Text format TXT  |  1689207185 in PDF (Portable Document Format) PDF  |  1689207185 in an XML format XML  formats.

NPI Number : 1689207185 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689207185",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCED COMPREHENSIVE CARE PLLC",
    "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": "7123 RAMSGATE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28270-6538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "980-280-4010",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11301 GOLF LINKS DR N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28277-8013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "980-280-4010",
    "PracticeLocationAddressFaxNumber": "980-280-4011",
    "EnumerationDate": "02/13/2020",
    "LastUpdateDate": "05/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "KATHRYN",
    "AuthorizedOfficialMiddleName": "BROWN",
    "AuthorizedOfficialTitle": "MEMBER/ORGANIZER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NURSE PRACTITIONER",
    "AuthorizedOfficialTelephoneNumber": "980-280-4010",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LA2100X",
        "TaxonomyName": "Acute 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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.