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1730120858 NPI number — JUDITH NEAL SMITH FNP

NPI Number: 1730120858
Health Care Provider/Practitioner: JUDITH NEAL SMITH FNP

Information about “1730120858” NPI (JUDITH NEAL SMITH FNP) exists in 1730120858 in HTML format HTML  |  1730120858 in plain Text format TXT  |  1730120858 in PDF (Portable Document Format) PDF  |  1730120858 in an XML format XML  formats.

NPI Number : 1730120858 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730120858",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "JUDITH",
    "MiddleName": "NEAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEAL",
    "OtherFirstName": "JUDITY",
    "OtherMiddleName": "ELAINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1012 8TH STREET EAST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITEFISH",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59937",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-862-4821",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2181 HWY 2, EAST",
    "SecondLinePracticeLocationAddress": "SUITE 9",
    "PracticeLocationAddressCityName": "KALISPELL",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-756-7225",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2006",
    "LastUpdateDate": "04/22/2025",
    "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": "24990",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "NUR-APRN-LIC-100356",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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