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1780865485 NPI number — JIMMIE SUE KNIGHT RN, PHN, IBCLC

NPI Number: 1780865485
Health Care Provider/Practitioner: JIMMIE SUE KNIGHT RN, PHN, IBCLC

Information about “1780865485” NPI (JIMMIE SUE KNIGHT RN, PHN, IBCLC) exists in 1780865485 in HTML format HTML  |  1780865485 in plain Text format TXT  |  1780865485 in PDF (Portable Document Format) PDF  |  1780865485 in an XML format XML  formats.

NPI Number : 1780865485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780865485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNIGHT",
    "FirstName": "JIMMIE",
    "MiddleName": "SUE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RN, PHN, IBCLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLARK",
    "OtherFirstName": "JIMMIE",
    "OtherMiddleName": "SUE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "R.N., P.H.N.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15880 EL PAJARO CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORGAN HILL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95037-5640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-859-1490",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15880 EL PAJARO CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORGAN HILL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95037-5640",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-859-1490",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2007",
    "LastUpdateDate": "07/16/2019",
    "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": "163WC0400X",
          "TaxonomyName": "Case Management Registered Nurse",
          "LicenseNumber": "692825",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WL0100X",
          "TaxonomyName": "Lactation Consultant (Registered Nurse)",
          "LicenseNumber": "692825",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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