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1689238453 NPI number — KATHERYN CARMICHAEL MORRIS NP-C

NPI Number: 1689238453
Health Care Provider/Practitioner: KATHERYN CARMICHAEL MORRIS NP-C

Information about “1689238453” NPI (KATHERYN CARMICHAEL MORRIS NP-C) exists in 1689238453 in HTML format HTML  |  1689238453 in plain Text format TXT  |  1689238453 in PDF (Portable Document Format) PDF  |  1689238453 in an XML format XML  formats.

NPI Number : 1689238453 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689238453",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORRIS",
    "FirstName": "KATHERYN",
    "MiddleName": "CARMICHAEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARMICHAEL",
    "OtherFirstName": "KATHERYN",
    "OtherMiddleName": "MCCALL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1821 E HIGH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45505-1225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-323-7340",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1821 E HIGH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45505-1225",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-323-7340",
    "PracticeLocationAddressFaxNumber": "937-323-3363",
    "EnumerationDate": "04/27/2019",
    "LastUpdateDate": "11/08/2023",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "1-159833",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "1105885",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "CNP.0027375",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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