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1740478700 NPI number — MELODY SHIMPANO

NPI Number: 1740478700
Health Care Provider/Practitioner: MELODY SHIMPANO

Information about “1740478700” NPI (MELODY SHIMPANO) exists in 1740478700 in HTML format HTML  |  1740478700 in plain Text format TXT  |  1740478700 in PDF (Portable Document Format) PDF  |  1740478700 in an XML format XML  formats.

NPI Number : 1740478700 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740478700",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHIMPANO",
    "FirstName": "MELODY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORRIS",
    "OtherFirstName": "MELODY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8300 FM 1960 RD W STE 450",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77070-5699",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-291-2486",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8300 FM 1960 RD W STE 450",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77070-5699",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-291-2486",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2007",
    "LastUpdateDate": "01/10/2015",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "AP122671",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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