NPI Code Detail JSON Logo

1710679758 NPI number — NUKEYSHA LAFAY SILLMON REGISTERED NURSE

NPI Number: 1710679758
Health Care Provider/Practitioner: NUKEYSHA LAFAY SILLMON REGISTERED NURSE

Information about “1710679758” NPI (NUKEYSHA LAFAY SILLMON REGISTERED NURSE) exists in 1710679758 in HTML format HTML  |  1710679758 in plain Text format TXT  |  1710679758 in PDF (Portable Document Format) PDF  |  1710679758 in an XML format XML  formats.

NPI Number : 1710679758 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710679758",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SILLMON",
    "FirstName": "NUKEYSHA",
    "MiddleName": "LAFAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "REGISTERED NURSE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "304 DABNEY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALLADEGA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35160-2925",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-402-3706",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "304 DABNEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALLADEGA",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35160-2925",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-402-3706",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/25/2023",
    "LastUpdateDate": "05/25/2023",
    "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": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332U00000X",
          "TaxonomyName": "Home Delivered Meals",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC1600X",
          "TaxonomyName": "Continuing Education/Staff Development Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC2100X",
          "TaxonomyName": "Continence Care Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WD0400X",
          "TaxonomyName": "Diabetes Educator Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WG0000X",
          "TaxonomyName": "General Practice Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WI0600X",
          "TaxonomyName": "Infection Control Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WN1003X",
          "TaxonomyName": "Nutrition Support Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0200X",
          "TaxonomyName": "Pediatric Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP2201X",
          "TaxonomyName": "Ambulatory Care Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WW0000X",
          "TaxonomyName": "Wound Care Registered Nurse",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": "1-147471",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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