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1699593632 NPI number — ANGEL DENISE PEOPLES CNA

NPI Number: 1699593632
Health Care Provider/Practitioner: ANGEL DENISE PEOPLES CNA

Information about “1699593632” NPI (ANGEL DENISE PEOPLES CNA) exists in 1699593632 in HTML format HTML  |  1699593632 in plain Text format TXT  |  1699593632 in PDF (Portable Document Format) PDF  |  1699593632 in an XML format XML  formats.

NPI Number : 1699593632 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699593632",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEOPLES",
    "FirstName": "ANGEL",
    "MiddleName": "DENISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PEOPLES",
    "OtherFirstName": "ANGEL",
    "OtherMiddleName": "DENISE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "214 MISKELL BLVD # A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAHOKIA",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62206-2116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-240-8607",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10016 OFFICE CENTER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT LOUIS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63128-1468",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-519-0881",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2024",
    "LastUpdateDate": "09/30/2024",
    "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": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": "134968",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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