NPI Code Detail JSON Logo

1770773798 NPI number — VICKI ANN RICE RN

NPI Number: 1770773798
Health Care Provider/Practitioner: VICKI ANN RICE RN

Information about “1770773798” NPI (VICKI ANN RICE RN) exists in 1770773798 in HTML format HTML  |  1770773798 in plain Text format TXT  |  1770773798 in PDF (Portable Document Format) PDF  |  1770773798 in an XML format XML  formats.

NPI Number : 1770773798 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770773798",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICE",
    "FirstName": "VICKI",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMYTH",
    "OtherFirstName": "VICKI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "900 AVENIDA ACASO STE A",
    "SecondLineMailingAddress": "FACTOR SUPPORT NETWORK PHARMACY",
    "MailingAddressCityName": "CAMARILLO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93012-8749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-443-7349",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 AVENIDA ACASO",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "CAMARILLO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93012-8749",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-388-9336",
    "PracticeLocationAddressFaxNumber": "805-482-6324",
    "EnumerationDate": "07/26/2007",
    "LastUpdateDate": "03/03/2009",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "R022807",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "743414",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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