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1801809991 NPI number — JO ELAINE BEATY CRNA

NPI Number: 1801809991
Health Care Provider/Practitioner: JO ELAINE BEATY CRNA

Information about “1801809991” NPI (JO ELAINE BEATY CRNA) exists in 1801809991 in HTML format HTML  |  1801809991 in plain Text format TXT  |  1801809991 in PDF (Portable Document Format) PDF  |  1801809991 in an XML format XML  formats.

NPI Number : 1801809991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801809991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEATY",
    "FirstName": "JO",
    "MiddleName": "ELAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6306 SHADOW WOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PROSPECT",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40059-9626",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-228-8576",
    "MailingAddressFaxNumber": "502-637-1550",
    "FirstLinePracticeLocationAddress": "1400 POPLAR LEVEL RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40217-1309",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-637-4800",
    "PracticeLocationAddressFaxNumber": "502-637-1550",
    "EnumerationDate": "08/13/2006",
    "LastUpdateDate": "07/09/2007",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "1039608",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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