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1740805415 NPI number — J RICHARD BESHORE PMHNP

NPI Number: 1740805415
Health Care Provider/Practitioner: J RICHARD BESHORE PMHNP

Information about “1740805415” NPI (J RICHARD BESHORE PMHNP) exists in 1740805415 in HTML format HTML  |  1740805415 in plain Text format TXT  |  1740805415 in PDF (Portable Document Format) PDF  |  1740805415 in an XML format XML  formats.

NPI Number : 1740805415 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740805415",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BESHORE",
    "FirstName": "J",
    "MiddleName": "RICHARD",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "871 VENETIA BAY BLVD STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VENICE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34285-8049",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-202-6126",
    "MailingAddressFaxNumber": "941-200-4424",
    "FirstLinePracticeLocationAddress": "871 VENETIA BAY BLVD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENICE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34285-8049",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-202-6126",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2020",
    "LastUpdateDate": "12/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "C-APN.0104708-C-NP",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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