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1700592854 NPI number — BAILEY SHANNON WALKER APRN

NPI Number: 1700592854
Health Care Provider/Practitioner: BAILEY SHANNON WALKER APRN

Information about “1700592854” NPI (BAILEY SHANNON WALKER APRN) exists in 1700592854 in HTML format HTML  |  1700592854 in plain Text format TXT  |  1700592854 in PDF (Portable Document Format) PDF  |  1700592854 in an XML format XML  formats.

NPI Number : 1700592854 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700592854",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "BAILEY",
    "MiddleName": "SHANNON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "705 SE BASIL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEES SUMMIT",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64063-6100",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-284-9606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6860 W 115TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66211-2457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-284-9606",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2023",
    "LastUpdateDate": "01/23/2023",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "53-81853-032",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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