NPI Code Detail JSON Logo

1770138794 NPI number — KARINA ELAINE MOORE-MASSEY

NPI Number: 1770138794
Health Care Provider/Practitioner: KARINA ELAINE MOORE-MASSEY

Information about “1770138794” NPI (KARINA ELAINE MOORE-MASSEY) exists in 1770138794 in HTML format HTML  |  1770138794 in plain Text format TXT  |  1770138794 in PDF (Portable Document Format) PDF  |  1770138794 in an XML format XML  formats.

NPI Number : 1770138794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770138794",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOORE-MASSEY",
    "FirstName": "KARINA",
    "MiddleName": "ELAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "431 BERTUCCI BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BILOXI",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39531-2255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "228-385-2020",
    "MailingAddressFaxNumber": "228-388-9435",
    "FirstLinePracticeLocationAddress": "3430 BIENVILLE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN SPRINGS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39564-5732",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-875-6658",
    "PracticeLocationAddressFaxNumber": "228-875-0809",
    "EnumerationDate": "08/06/2019",
    "LastUpdateDate": "08/06/2019",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "999",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.